Individual provider Active NPI

Shelley Kolton, MD

  • Gynecology Physician
  • New York, NY
National Provider Identifier
1205934999
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
131977-1 Issued in NY
Practice address
568 Broadway
Suite 304
New York, NY 10012-3225
Phone
(212) 966-7600
Fax
(212) 966-8820
NPI assigned
Sep 20, 2006
Last updated
Dec 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 131977-1 NY Primary

Addresses

Primary practice location

568 Broadway
Suite 304
New York, NY 10012-3225

Mailing address

568 Broadway
Suite 304
New York, NY 10012-3225
Phone (212) 966-7600

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
I20090423000597 NY Practitioner - Obstetrics/Gynecology 2163570524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Icahn School of Medicine at Mount Sinai, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Square Care Medical Group LLPGroup PAC ID 7012938434, 70 clinicians
Downtown Women OB GYN Associates LLPGroup PAC ID 4981752342, 4 clinicians

Practice addresses (Care Compare)

285 Sills Rd
Suite D
East Patchogue, NY 11772-4869
Phone (631) 447-1032

568 Broadway
RM 304
New York, NY 10012-3271
Phone (212) 966-7600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
131977-1NYMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Square Care Medical Group, LLP CurrentSince Jun 28, 2025 Accepting new patients

Locations

285 Sills Rd
Ste D
East Patchogue, NY 11772
Phone (631) 438-0777

191 Herricks Rd
New Hyde Park, NY 11040
Phone (516) 248-0144

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15987/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shelley.kolton.1@15987.direct.athenahealth.com

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 7

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1205934999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 BROADWAY",
            "address_2": "SUITE 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123225",
            "telephone_number": "212-966-7600",
            "fax_number": "212-966-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 BROADWAY",
            "address_2": "SUITE 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123225",
            "telephone_number": "212-966-7600",
            "fax_number": "212-966-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLTON",
        "first_name": "SHELLEY",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "131977-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.