Individual provider Active NPI

Tara E. Shapiro, D.O,

  • Emergency Medicine Physician
  • Bronx, NY
National Provider Identifier
1083771273
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
200696-1 Issued in NY
Practice address
2432 Grand Concourse
Bronx, NY 10458-5204
Phone
(718) 518-5046
NPI assigned
Jan 3, 2007
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 200696-1 NY Primary

Addresses

Primary practice location

2432 Grand Concourse
Bronx, NY 10458-5204

Mailing address

100 Leber Rd
Blauvelt, NY 10913-1405
Phone (845) 365-2521

Other practice location 1

35 W 35th St Fl 6
New York, NY 10001-2205
Phone (866) 349-4230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406001359 NY Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Hospitalist 2163415050 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
New York College of Osteo Medicine of New York Institute of Technology, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Plains Medical Diagnostic Services, PCGroup PAC ID 5395918932, 95 clinicians

Practice addresses (Care Compare)

160 N Midland Ave
Nyack, NY 10960-1912
Phone (845) 480-7440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200696-1NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Emergency Medicine CurrentSince Jul 19, 2017 Accepting new patients
Montefiore Medical Center Emergency Medicine CurrentSince Jan 15, 2021 Accepting new patients
Montefiore Nyack Hospital CurrentSince Dec 9, 2023 Accepting new patients
Montefiore Nyack Hospital CurrentSince Dec 9, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Jan 15, 2021 Accepting new patients
Bronxcare Health System Emergency Medicine CurrentSince May 23, 2019 Accepting new patients
Mobile Medical Care PC Emergency Medicine CurrentSince May 21, 2022 Accepting new patients
Northern Westchester Hospital Association CurrentSince Dec 1, 2013 Accepting new patients
Northern Westchester Hospital Association Emergency Medicine CurrentSince Dec 1, 2013 Accepting new patients
White Plains Medical Diagnostic Services, PC CurrentSince Dec 1, 2023 Accepting new patients
Laboratory Medicine Associates, LLP Current Accepting new patients
Bronxcare Health System CurrentSince May 23, 2019 Accepting new patients
Northern Westchester Hospital Association Current Accepting new patients
Emergency Medical Association of New York PC Emergency Medicine PastSince Jan 19, 2025 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1650 Grand Concourse
Fl 1
Bronx, NY 10457
Phone (718) 518-5340

300 Community Dr
Manhasset, NY 11030

156 1st St
Mineola, NY 11501
Phone (516) 741-4082

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

400 E Main St
Fl 4
Mount Kisco, NY 10549
Phone (914) 242-8318

35 W 35th St
Fl 6
New York, NY 10001
Phone (347) 903-5933

685 3rd Ave
Fl 9
New York, NY 10017
Phone (212) 273-9770

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1083771273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LEBER RD",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131405",
            "telephone_number": "845-365-2521",
            "fax_number": "914-407-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585204",
            "telephone_number": "718-518-5046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 W 35th St Fl 6",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100012205",
            "country_code": "US",
            "telephone_number": "866-349-4230",
            "fax_number": "877-282-9624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "TARA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.O,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "200696-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.