Organization Active NPI

Mitchell Shear MD PC

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1306382148
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
168800 Issued in NY
Legal business name
MITCHELL SHEAR MD PC
Practice address
665 Pelham Pkwy N
Suite 301
Bronx, NY 10467-8068
Phone
(718) 547-8000
Fax
(718) 547-8001
NPI assigned
Jan 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Mitchell Shear, M.DNPI 1801952510
Title
President
Phone
(718) 547-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 168800 NY Primary

Addresses

Primary practice location

665 Pelham Pkwy N
Suite 301
Bronx, NY 10467-8068

Mailing address

665 Pelham Pkwy N
Suite 301
Bronx, NY 10467-8068
Phone (718) 547-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170313002066 NY Part B Supplier - Clinic/Group Practice 1355626359 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

665 Pelham Pkwy N
Apt 301
Bronx, NY 10467
Phone (718) 547-8000

665 Pelham Pkwy N
Ste 701
Bronx, NY 10467

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1306382148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 PELHAM PKWY N",
            "address_2": "SUITE 301",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678068",
            "telephone_number": "718-547-8000",
            "fax_number": "718-547-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 PELHAM PKWY N",
            "address_2": "SUITE 301",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678068",
            "telephone_number": "718-547-8000",
            "fax_number": "718-547-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL SHEAR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "SHEAR",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-547-8000",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "168800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.