NPIMap

Organization Active NPI

Richard G. Shinbrot, D.O., P.C.

  • Surgery Physician
  • North Massapequa, NY
National Provider Identifier
1205937091
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
182215 Issued in NY
Legal business name
RICHARD G. SHINBROT, D.O., P.C.
Practice address
One Stuart Gate
Office B
North Massapequa, NY 11758
Phone
(516) 795-1100
Fax
(516) 795-9439
NPI assigned
Sep 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard Gary Shinbrot, DONPI 1326080342
Title
President
Phone
(516) 795-1100

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 182215 NY Primary

Addresses

Primary practice location

One Stuart Gate
Office B
North Massapequa, NY 11758

Mailing address

One Stuart Gate
Office B
North Massapequa, NY 11758
Phone (516) 795-1100

Other identifiers 1

IdentifierTypeStateIssuer
F26821MedicaidNY

National Provider Directory

National Provider Directory

Locations

1 Stuart Gate
Ofc B
North Massapequa, NY 11758
Phone (516) 795-1100

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205937091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE STUART GATE",
            "address_2": "OFFICE B",
            "city": "NORTH MASSAPEQUA",
            "state": "NY",
            "postal_code": "11758",
            "telephone_number": "516-795-1100",
            "fax_number": "516-795-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE STUART GATE",
            "address_2": "OFFICE B",
            "city": "NORTH MASSAPEQUA",
            "state": "NY",
            "postal_code": "11758",
            "telephone_number": "516-795-1100",
            "fax_number": "516-795-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD G. SHINBROT, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHINBROT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-795-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "182215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F26821",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.