Active NPI
Dr Gregory Shifrin OBGYN PC
- Obstetrics & Gynecology Physician
- Brooklyn, NY
National Provider Identifier
1154407013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 202259
- Legal business name
- DR GREGORY SHIFRIN OBGYN PC
- Practice address
- 1766 E 12TH Street
Brooklyn, NY 11229 - Phone
- (718) 743-0505
- Fax
- (718) 339-0760
- NPI assigned
- Oct 31, 2006
- Last updated
- Sep 27, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregory Shifrin, M.D.
- Title
- Owner
- Phone
- (718) 743-0505
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 202259 | NY | Primary |
Addresses
Primary practice location
1766 E 12TH Street
Brooklyn, NY 11229
Mailing address
1766 E 12TH Street
Brooklyn, NY 11229
Phone (718) 743-0505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01647410 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1766 E 12th St
Brooklyn, NY 11229
Phone (718) 375-2200
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Brooklyn, NY
- NPI 1477688604
-
- Student in an Organized Health Care Education/Training Program
- Brooklyn, NY
- NPI 1184203135
-
- Pediatric Anesthesiology Physician
- Fresh Meadows, NY
- NPI 1215194261
-
- Gynecology Physician
- New York, NY
- NPI 1770716995
-
- Obstetrics & Gynecology Physician
- Brooklyn, NY
- NPI 1548452352
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1538759626
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1790711844
-
- Obstetrics & Gynecology Physician
- Brooklyn, NY
- NPI 1326215542
-
- Physician Assistant
- Mount Kisco, NY
- NPI 1841755063
-
- Family Nurse Practitioner
- Kew Gardens, NY
- NPI 1235445099
-
- Dermatology Physician
- New York, NY
- NPI 1972690709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380240000000",
"number": "1154407013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1766 E 12TH STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11229",
"telephone_number": "718-743-0505",
"fax_number": "718-339-0760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1766 E 12TH STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11229",
"telephone_number": "718-743-0505",
"fax_number": "718-339-0760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR GREGORY SHIFRIN OBGYN PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-31",
"last_updated": "2013-09-27",
"status": "A",
"authorized_official_last_name": "SHIFRIN",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-743-0505",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "202259",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01647410",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.