Active NPI
Christopher Shayne James, MD
- Family Medicine Physician
- Rockville, MD
National Provider Identifier
1104572056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 254772
- Practice address
- 9704 Medical Center Dr
Rockville, MD 20850-3343 - Phone
- (301) 251-5172
- NPI assigned
- Mar 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 254772 | NY | Primary |
Addresses
Primary practice location
9704 Medical Center Dr
Rockville, MD 20850-3343
Mailing address
603 W 148TH St Apt 4
New York, NY 10031-3134
Phone (917) 882-6506
Other practice location 1
603 W 148th St Apt 4
New York, NY 10031-3134
Phone (917) 882-6506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254772 | NY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1104572056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 W 148TH ST APT 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100313134",
"telephone_number": "917-882-6506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9704 MEDICAL CENTER DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503343",
"telephone_number": "301-251-5172"
}
],
"practiceLocations": [
{
"address_1": "603 W 148th St Apt 4",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100313134",
"country_code": "US",
"telephone_number": "917-882-6506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMES",
"first_name": "CHRISTOPHER",
"middle_name": "SHAYNE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-01",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "254772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.