Individual provider Active NPI

Dana Shani, M.D.

  • Hematology & Oncology Physician
  • New York City, NY
National Provider Identifier
1245296458
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
168406 Issued in NY
Practice address
178 East 85 Street
4 Floor
New York City, NY 10028-2119
Phone
(212) 434-3630
Fax
(212) 434-3639
NPI assigned
Apr 25, 2006
Last updated
Jun 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 168406 NY Primary

Addresses

Primary practice location

178 East 85 Street
4 Floor
New York City, NY 10028-2119

Mailing address

178 East 85 Street
4 Floor
New York City, NY 10028-2119
Phone (212) 434-3630

Other identifiers 1

IdentifierTypeStateIssuer
01056500MedicaidNY

Other names 1

  • Dana Shani Professional 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040211000517 NY Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Hematology 2567356405 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
168406NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Apr 1, 2013 Accepting new patients
LHHN Medical, P.C. Hematology & Oncology Past Accepting new patients

Locations

300 Community Dr
Manhasset, NY 11030

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

178 E 85th St
Fl 4
New York, NY 10028
Phone (212) 288-2278

210 E 86th St
Ste 503
New York, NY 10028
Phone (212) 861-5627

972 Brush Hollow Rd
Westbury, NY 11590

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.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1245296458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 EAST 85 STREET",
            "address_2": "4 FLOOR",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "100282119",
            "telephone_number": "212-434-3630",
            "fax_number": "212-434-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 EAST 85 STREET",
            "address_2": "4 FLOOR",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "100282119",
            "telephone_number": "212-434-3630",
            "fax_number": "212-434-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANI",
        "first_name": "DANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "168406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01056500",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "SHANI",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York City, NY

Sources for this page

Verify at the official NPI Registry.