Individual provider Active NPI

Stephenie Shapoff, P.N.P.

  • Pediatric Nurse Practitioner
  • New York, NY
National Provider Identifier
1144658931
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F382411 Issued in NY
Practice address
67 Irving PL
3Rd Floor South
New York, NY 10003-2202
Phone
(212) 473-4200
Fax
(212) 473-5696
NPI assigned
Oct 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F382411 NY Primary

Addresses

Primary practice location

67 Irving PL
3Rd Floor South
New York, NY 10003-2202

Mailing address

420 W 23Rd St Apt Agf
New York, NY 10011-2100
Phone (212) 473-4200

Other names 1

  • Stephenie Dring Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 15, 2020 through Jun 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F382411NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Group, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: stephenie.shapoff.1@21260.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1144658931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W 23RD ST APT AGF",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112100",
            "telephone_number": "212-473-4200",
            "fax_number": "212-473-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 IRVING PL",
            "address_2": "3RD FLOOR SOUTH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032202",
            "telephone_number": "212-473-4200",
            "fax_number": "212-473-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPOFF",
        "first_name": "STEPHENIE",
        "credential": "P.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F382411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHENIE",
            "last_name": "DRING",
            "credential": "P.N.P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.