Individual provider Active NPI

Daniel Shapiro, MD, FAAPMR

  • Physical Medicine & Rehabilitation Physician
  • East Patchogue, NY
National Provider Identifier
1093889115
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
125974-1 Issued in NY
Practice address
286 Sills Rd Ste 2
East Patchogue, NY 11772-8810
Phone
(631) 654-4988
Fax
(631) 654-0899
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 125974-1 NY Primary

Addresses

Primary practice location

286 Sills Rd Ste 2
East Patchogue, NY 11772-8810

Mailing address

286 Sills Rd Ste 2
East Patchogue, NY 11772-8810
Phone (631) 654-4988

Other identifiers 2

IdentifierTypeStateIssuer
125974OtherNEW YORK STATE LICENSE
11-3138090OtherNYTAX ID#

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
I20070321000471 NY Practitioner - Physical Medicine and Rehabilitation 2860595311 Practice locations: East Patchogue, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

286 Sills Rd
East Patchogue, NY 11772-8810
Phone (631) 654-4988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125974-1NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Diagnostics Inc CurrentSince Jul 2, 2024 Accepting new patients
RK Med Imaging Inc CurrentSince Jun 3, 2023 Accepting new patients
Queens Rehabilitation & Diagnostics Physical Medicine & Rehabilitation Past Accepting new patients
Dynamism Physical Therapy, P.C. PastSince Jan 29, 2020 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1093889115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 SILLS RD STE 2",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728810",
            "telephone_number": "631-654-4988",
            "fax_number": "631-654-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 SILLS RD STE 2",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728810",
            "telephone_number": "631-654-4988",
            "fax_number": "631-654-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "DANIEL",
        "credential": "MD, FAAPMR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "125974-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE",
            "identifier": "125974",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "11-3138090",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

Verify at the official NPI Registry.