Active NPI
Emanoil Shafik, DPM
- Podiatrist
- Bayonne, NJ
National Provider Identifier
1083308266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N007500
- Practice address
- 77 W 19TH St
Bayonne, NJ 07002-2638 - Phone
- (347) 576-4417
- NPI assigned
- Jun 8, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 25MD00391100 | NJ | |
| Podiatrist | 213E00000X | N007500 | NY | Primary |
Addresses
Primary practice location
77 W 19TH St
Bayonne, NJ 07002-2638
Mailing address
55 Southwood Dr
Old Bridge, NJ 08857-1461
Phone (347) 576-4417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1042 Huguenot Ave
Staten Island, NY 10312-4315
523 Broadway
Bayonne, NJ 07002-3735
55 Southwood Dr
Old Bridge, NJ 08857-1461
55 Water St
FL 2
New York, NY 10041-0029
Advantagecare Physicians PC
New York, NY 10041-0010
PO Box
Suite 486
Central Valley, NY 10917
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00391100 | NJ | MD | Podiatrist |
| N007500 | NY | MD | Podiatrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Staten Island, NY
- NPI 1992426969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1083308266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 SOUTHWOOD DR",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088571461",
"telephone_number": "347-576-4417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 W 19TH ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070022638",
"telephone_number": "347-576-4417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFIK",
"first_name": "EMANOIL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-08",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00391100",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N007500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.