Individual provider Active NPI

Gail F Shust, M.D.

  • Pediatric Infectious Diseases Physician
  • New York, NY
National Provider Identifier
1144484536
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
239113 Issued in NY
Practice address
1 Gustave L Levy PL
Box 1756
New York, NY 10029-6500
Phone
(212) 241-2366
NPI assigned
Jul 15, 2008
Last updated
Jan 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 239113 NY
Pediatric Infectious Diseases Physician 2080P0208X 239113 NY Primary

Addresses

Primary practice location

1 Gustave L Levy PL
Box 1756
New York, NY 10029-6500

Mailing address

One Gustave L Levy Place
Box 1756
New York, NY 10029
Phone (212) 241-2366

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
I20091019000046 NY Practitioner - Pediatric Medicine 3779620141 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
239113NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jul 1, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Pediatrics CurrentSince Sep 27, 2016 Accepting new patients
New York University Pediatrics CurrentSince Jul 1, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 27, 2016 Accepting new patients

Locations

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1190 5th Ave
New York, NY 10029
Phone (212) 241-6756

5 E 98th St
Fl 8
New York, NY 10029
Phone (212) 241-4410

Interoperability endpoints

  • Direct secure messaging: gshust682720@nychhc.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1144484536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE GUSTAVE L LEVY PLACE",
            "address_2": "BOX 1756",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-241-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "address_2": "BOX 1756",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296500",
            "telephone_number": "212-241-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUST",
        "first_name": "GAIL",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "239113",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "NY",
            "license": "239113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.