Individual provider Active NPI

Shany David, M.D.

  • Neurology Physician
  • New York, NY
National Provider Identifier
1205123973
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
267562-1 Issued in NY
Practice address
151 E 62ND St
Suite 1a
New York, NY 10065-7620
Phone
(212) 288-8832
Fax
(646) 924-0579
NPI assigned
Jul 1, 2011
Last updated
Oct 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 267562-1 NY Primary

Addresses

Primary practice location

151 E 62ND St
Suite 1a
New York, NY 10065-7620

Mailing address

151 E 62ND St
Suite 1a
New York, NY 10065-7620
Phone (212) 288-8832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151001001994 NY Practitioner - Neurology 8729396361 Reassigns benefits to 1 organization
I20200727002165 CT Practitioner - Neurology 8729396361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

365 Broadway
Kingston, NY 12401-5151
Phone (845) 331-5165

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
63.01
Promoting interoperability
98
Improvement activities
40
Cost
72.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
267562-1NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice PC CurrentSince Apr 18, 2017 Accepting new patients
Lawrence P. Kempf Medical Practice PC CurrentSince Aug 5, 2024 Accepting new patients

Locations

50 Hospital Hill Rd
Sharon, CT 06069
Phone (860) 364-4000

150 Sawkill Rd
Kingston, NY 12401
Phone (845) 339-7700

365 Broadway
Kingston, NY 12401
Phone (845) 331-5165

1351 Route 55
Ste 200
Lagrangeville, NY 12540
Phone (845) 475-9622

151 E 62nd St
Rm 1A
New York, NY 10065
Phone (212) 288-8832

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1205123973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E 62ND ST",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657620",
            "telephone_number": "212-288-8832",
            "fax_number": "646-924-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E 62ND ST",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657620",
            "telephone_number": "212-288-8832",
            "fax_number": "646-924-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "SHANY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "267562-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.