Igor Shorman, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

254070 Issued in NY

Practice address

1407 W 6TH St
Brooklyn, NY 11204-4802

Phone

(718) 236-6994

Fax

(718) 331-3871

NPI assigned

Jul 24, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ishorman360584@nyumc.direct-ci.com
• Direct secure messaging: ishorman8610@prd.direct.tbh.org

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.

• New York University

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  NY, Pediatrics

  Medicare reassignment NPD
• New York University

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613
  NPD

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248393600000",
    "number": "1306076245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 W 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044802",
            "telephone_number": "718-236-6994",
            "fax_number": "718-331-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 W 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044802",
            "telephone_number": "718-236-6994",
            "fax_number": "718-331-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORMAN",
        "first_name": "IGOR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-24",
        "last_updated": "2009-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "254070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shorefront Operating LLC
• Shoreline Medical Services PC
• Shoreview Specialty Inc
• Eric Grant Shorey, LP
• Eric Shork, PT
• Victoriya Shorman, DDS
• Gwendolyn A Short
• Keisha Short, MD
• Nicole Short, RDN
• Jonathan Daniel Shorter, DDS

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.