Individual provider Active NPI

Toru Shoji, M.D.

  • Dermatopathology (Pathology) Physician
  • Port Washington, NY
National Provider Identifier
1285767202
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
038366 Issued in CT
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

Updated by the provider on Jul 24, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
038366CTMDDermatopathology (Pathology) Physician
8430HIMDDermatopathology (Pathology) Physician
208418NYMDDermatopathology (Pathology) Physician
9378RIMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.