Active NPI
Shen Medical Ny PLLC
- Dermatology Physician
- Brooklyn, NY
National Provider Identifier
1255204350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- SHEN MEDICAL NY PLLC
- Practice address
- 818 55TH St FL 3
Brooklyn, NY 11220-3213 - Phone
- (646) 517-5522
- NPI assigned
- Sep 25, 2025
- Last updated
- Sep 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shen Fengyi
- Title
- Owner/Authorized Official
- Phone
- (646) 517-5522
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | NU | Primary |
Addresses
Primary practice location
818 55TH St FL 3
Brooklyn, NY 11220-3213
Mailing address
818 55TH St FL 3
Brooklyn, NY 11220-3213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- Amityville, NY
- NPI 1134443898
-
- Physician Assistant
- New York, NY
- NPI 1447526793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758758400000",
"number": "1255204350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 55TH ST FL 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 55TH ST FL 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203213",
"telephone_number": "646-517-5522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHEN MEDICAL NY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-25",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A",
"authorized_official_last_name": "FENGYI",
"authorized_official_first_name": "SHEN",
"authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "646-517-5522"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.