Active NPI
Shakira Shanker, M.D.
- Neurology Physician
- Commack, NY
National Provider Identifier
1144631987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 295250-1
- Practice address
- 6080 Jericho Tpke
Commack, NY 11725-2850 - Phone
- (631) 364-9119
- Fax
- (631) 486-8361
- NPI assigned
- May 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 295250-1 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
6080 Jericho Tpke
Commack, NY 11725-2850
Mailing address
600 E 233Rd St
Bronx, NY 10466-2604
Other practice location 1
600 E 233rd St
Bronx, NY 10466-2604
Phone (718) 920-9880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A400229898 | Other | MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6080 Jericho Tpke
Commack, NY 11725-2850
Phone (631) 364-9119
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 295250-1 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True North Medical at North Suffolk PLLC | Single Specialty | Current | Accepting new patients |
Locations
6080 Jericho Tpke
Commack, NY 11725
Phone (631) 462-2200
1010 Route 112
Ste 300
Port Jefferson Station, NY 11776
Phone (631) 364-9119
5 Medical Dr
Port Jefferson Station, NY 11776
Phone (631) 364-9119
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 1
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.
-
- Neurology Physician
- Port Jefferson Station, NY
- NPI 1639804628
Single Specialty
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1144631987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 E 233RD ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104662604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6080 JERICHO TPKE",
"city": "COMMACK",
"state": "NY",
"postal_code": "117252850",
"telephone_number": "631-364-9119",
"fax_number": "631-486-8361"
}
],
"practiceLocations": [
{
"address_1": "600 E 233rd St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104662604",
"country_code": "US",
"telephone_number": "718-920-9880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHANKER",
"first_name": "SHAKIRA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-14",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "295250-1",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "A400229898",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.