Richard Shanin DPM PC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

RICHARD SHANIN DPM PC

Practice address

53 W Main St
Pob 307
Goshen, NY 10924-1916

Phone

(845) 294-5510

Fax

(845) 774-1650

NPI assigned

Oct 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard D Shanin, DPMNPI 1740268374

Title

Doctor

Phone

(845) 294-5510

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Shanin, DPM

  • Podiatrist
  • Monroe, NY
  • NPI 1740268374
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1235326554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W MAIN ST # 307",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241916",
            "telephone_number": "845-294-5510",
            "fax_number": "845-774-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W MAIN ST",
            "address_2": "POB 307",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241916",
            "telephone_number": "845-294-5510",
            "fax_number": "845-774-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD SHANIN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "SHANIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "845-294-5510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00418635",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regional Nephrology PLLC
• Sandra L Regis, PH.D.
• Marianne Regitsky, LCSW
• Libby Reisel, LCSW
• Rima Reitblat, MD
• Christine Marie Richardson, M.S., LMHC
• Laura Elizabeth Rico, LMHC
• Brianne Rivenburgh
• Valerie M. Rivenburgh, COTA
• Jennifer Rivera

• Primary Podiatric Medicine Podiatrist in Goshen, NY
• Providers in Goshen, NY by specialty
• Primary Podiatric Medicine Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.