Individual provider Active NPI

Hemangi Prabodh Shukla, D.O.

  • Obstetrics & Gynecology Physician
  • Jamaica, NY
National Provider Identifier
1205130028
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
259370 Issued in NY
Practice address
8906 135TH St
Suite 6a
Jamaica, NY 11418-2821
Phone
(178) 206-6808
Fax
(718) 206-6829
NPI assigned
Jan 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 259370 NY Primary

Addresses

Primary practice location

8906 135TH St
Suite 6a
Jamaica, NY 11418-2821

Mailing address

8906 135TH St
Suite 6a
Jamaica, NY 11418-2821
Phone (178) 206-6808

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110412000008 NY Practitioner - Obstetrics/Gynecology 8527242817 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Mar 1, 2023 Accepting new patients
Trustees of Columbia University in the City of New York Obstetrics & Gynecology CurrentSince Jun 1, 2015 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jun 1, 2015 Accepting new patients
New York University Obstetrics & Gynecology CurrentSince Mar 1, 2023 Accepting new patients
Trustees of Columbia University in the City of New York Obstetrics & Gynecology CurrentSince Apr 1, 2018 Accepting new patients

Locations

525 E 68th St
#J130
New York, NY 10065
Phone (212) 746-3000

51 W 51st St
Ste 360
New York, NY 10019
Phone (212) 326-8415

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

5141 Broadway
New York, NY 10034
Phone (212) 932-4000

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: hshukla549118@nyumc.direct-ci.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 5

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": "1294531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1205130028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 135TH ST",
            "address_2": "SUITE 6A",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182821",
            "telephone_number": "178-206-6808",
            "fax_number": "718-206-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8906 135TH ST",
            "address_2": "SUITE 6A",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182821",
            "telephone_number": "178-206-6808",
            "fax_number": "718-206-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "HEMANGI",
        "middle_name": "PRABODH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-09",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "259370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.