Individual provider Active NPI

Shira Kaplovitz, CPNP, RN

  • Pediatric Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1215198312
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F381951-1 Issued in NY
Practice address
913 Avenue L
Brooklyn, NY 11230-4707
Phone
(718) 859-8391
Fax
(718) 859-8394
NPI assigned
Jun 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 574895-1 NY
Pediatric Nurse Practitioner 363LP0200X F381951-1 NY Primary

Addresses

Primary practice location

913 Avenue L
Brooklyn, NY 11230-4707

Mailing address

1323 45TH St
Brooklyn, NY 11219-2102

Other names 1

  • Shira Selevan Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250916000524 NY Practitioner - Nurse Practitioner 5395249247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1333 A N Ave
Suite 296
New Rochelle, NY 10804-2120

14426 72ND Rd
Flushing, NY 11367-2406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
574895-1NYMDRegistered Nurse
F381951-1NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yaldeinu Health, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Jeffrey L. Teitelbaum, MD PC PastSince Apr 2, 2006 Accepting new patients
The Yaldeinu School Inc PastSince Jul 1, 2025 Accepting new patients
Refuah Health Center, Inc. Past Accepting new patients

Locations

1600 63rd St
Brooklyn, NY 11204
Phone (718) 851-0123

Organizations & group practices 4

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": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1215198312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 45TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304707",
            "telephone_number": "718-859-8391",
            "fax_number": "718-859-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLOVITZ",
        "first_name": "SHIRA",
        "credential": "CPNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "574895-1",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F381951-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRA",
            "last_name": "SELEVAN",
            "credential": "CPNP, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.