Larry Judah Shemen, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

158776 Issued in NY

Legal business name

LARRY JUDAH SHEMEN, M.D., P.C.

Practice address

233 E 69TH St
Suite 1D
New York, NY 10021-5414

Phone

(212) 472-8882

Fax

(212) 472-3077

NPI assigned

May 11, 2007

Organization subpart

Yes

Parent organization

LARRY JUDAH SHEMEN, M.D., P.C.As reported in NPPES

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

Authorized official

Name

Dr. Larry Judah Shemen, MDNPI 1699878736

Title

Owner

Phone

(212) 472-8882

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Larry Judah Shemen MD PC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Part of

Larry Judah Shemen MD P

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry Judah Shemen, MD

  • Otolaryngology Physician
  • New York, NY
  • NPI 1699878736
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1285849505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E 69TH ST",
            "address_2": "SUITE 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215414",
            "telephone_number": "212-472-8882",
            "fax_number": "212-472-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E 69TH ST",
            "address_2": "SUITE 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215414",
            "telephone_number": "212-472-8882",
            "fax_number": "212-472-3077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10721 Queens Blvd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113754451",
            "country_code": "US",
            "telephone_number": "718-520-1594",
            "fax_number": "718-520-8610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LARRY JUDAH SHEMEN, M.D., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LARRY JUDAH SHEMEN, M.D.,  P.C.",
        "enumeration_date": "2007-05-11",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "SHEMEN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "JUDAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-472-8882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "158776",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00838179",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larry Judah Shemen MD PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Larry Judah Shemen MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Larraguibel, LCSW
• Carolina Maria Larrain, MD
• Rachel Larrain, PHD
• Moises Antonio Larregui
• Larry Difabrizio MD PC
• Tracy Alexis Jade Larry
• Lorrie Marie Larsen-Strauss, L.P
• Kelsey Rae Larsen-Weber, MS
• Charles David Larsen, D.M.D.
• Christina Ann Larsen, FNP-C

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.

Verify at the official NPI Registry.