Active NPI
Toru Shoji, M.D.
- Dermatopathology (Pathology) Physician
- Port Washington, NY
National Provider Identifier
1285767202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- 038366
- Practice address
- 2 N Plandome Rd
Port Washington, NY 11050-3443 - Phone
- (516) 944-3882
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | 038366 | CT | Primary |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 9378 | RI | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 8430 | HI | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 208418 | NY |
Addresses
Primary practice location
2 N Plandome Rd
Port Washington, NY 11050-3443
Mailing address
39 Elderslie LN
Woodbridge, CT 06525-1038
Phone (203) 393-1730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038366 | CT | MD | Dermatopathology (Pathology) Physician |
| 8430 | HI | MD | Dermatopathology (Pathology) Physician |
| 208418 | NY | MD | Dermatopathology (Pathology) Physician |
| 9378 | RI | MD | Dermatopathology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai School of Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
- NPI 1629093869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185235200000",
"number": "1285767202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 ELDERSLIE LN",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "065251038",
"telephone_number": "203-393-1730",
"fax_number": "203-393-1671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 N PLANDOME RD",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110503443",
"telephone_number": "516-944-3882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOJI",
"first_name": "TORU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "CT",
"license": "038366",
"primary": true
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "RI",
"license": "9378",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "HI",
"license": "8430",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "NY",
"license": "208418",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Washington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.