Individual provider Active NPI

Shifra L Ullman, NP-C

  • Family Nurse Practitioner
  • Monsey, NY
National Provider Identifier
1265199814
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348842 Issued in NY
Practice address
1 Ribier CT
Monsey, NY 10952-1725
Phone
(845) 641-6757
NPI assigned
Nov 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 348842 NY Primary

Addresses

Primary practice location

1 Ribier CT
Monsey, NY 10952-1725

Mailing address

1 Ribier CT
Monsey, NY 10952-1725
Phone (845) 641-6757

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
I20220118001057 NY Practitioner - Nurse Practitioner 6800288168 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Health PCGroup PAC ID 9032308267, 44 clinicians

Practice addresses (Care Compare)

199 N Middletown Rd
Nanuet, NY 10954-1317
Phone (845) 354-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
348842NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parcare Community Health Network Inc CurrentSince Jan 1, 2022 Accepting new patients
Genesis Medical Health PC CurrentSince Jan 1, 2022 Accepting new patients
Care Connect Medical P.C. CurrentSince Sep 1, 2023 Accepting new patients
Parcare Community Health Network Inc CurrentSince Jan 1, 2022 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

2316 Bruner Ave
Bronx, NY 10469
Phone (718) 882-6400

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

6010 Bay Pkwy
Ste 603
Brooklyn, NY 11204
Phone (718) 236-7520

7 Skyline Dr
Ste 250
Hawthorne, NY 10532

33 Downtown Dr
Fl 3
Monsey, NY 10952
Phone (201) 357-1520

15 Monsey Blvd
Monsey, NY 10952
Phone (845) 356-3400

199 N Middletown Rd
Nanuet, NY 10954
Phone (845) 353-4344

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

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": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1265199814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIBIER CT",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521725",
            "telephone_number": "845-641-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIBIER CT",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521725",
            "telephone_number": "845-641-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLMAN",
        "first_name": "SHIFRA",
        "middle_name": "L",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

Verify at the official NPI Registry.