Active NPI
Stephenie Shapoff, P.N.P.
- Pediatric Nurse Practitioner
- New York, NY
National Provider Identifier
1144658931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- F382411
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| F382411 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Group, P.C. | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Rye Brook, NY
- NPI 1881653822
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.