Active NPI
Mitchell Shear MD PC
- Internal Medicine Physician
- Bronx, NY
National Provider Identifier
1306382148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 168800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mitchell Shear, M.D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.