Alexander Shifrin Medical PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

203551 Issued in NY

Legal business name

ALEXANDER SHIFRIN MEDICAL PC

Practice address

9920 4TH Ave
Siute #205
Brooklyn, NY 11209-8333

Phone

(718) 238-4707

Fax

(718) 238-4706

NPI assigned

Apr 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Shifrin, MDNPI 1780651166

Title

President

Phone

(212) 534-4707

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander Shifrin, MD

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1780651166
  Medicare reassignment Authorized official
• Willada Loch, BSN, NP

  • Adult Health Nurse Practitioner
  • New York, NY
  • NPI 1215448717
  Medicare reassignment NPD

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

{
    "created_epoch": "1176595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104041391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 4TH AVE",
            "address_2": "SIUTE #205",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098333",
            "telephone_number": "718-238-4707",
            "fax_number": "718-238-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 4TH AVE",
            "address_2": "SIUTE #205",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098333",
            "telephone_number": "718-238-4707",
            "fax_number": "718-238-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER SHIFRIN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIFRIN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-534-4707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "203551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01708429",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Miller DDS PC
• Alexander Nathanson M.D., PLLC
• Alexander Perkelvald MD PC
• Alexander Psychotherapy LCSW PC
• Alexander Rabinovich Medical PC
• Alexander Tarnarider O.D.,P.C.
• Ashleen Alexander-Clyne
• Christine M. Alexander-Greene, OTR/L
• Sarana Ikiesha Alexander-Henry, FNP
• Carole Alexander-Noel, RN

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.