Organization Active NPI

Irina Shur Internal Medicine P.C.

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1316149776
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
214511 Issued in NY
Legal business name
IRINA SHUR INTERNAL MEDICINE P.C.
Practice address
140 Elgar PL
Bronx, NY 10475-5201
Phone
(718) 708-7525
Fax
(718) 708-7526
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Irina Shur, MD
Title
Principal
Phone
(718) 708-7525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 214511 NY Primary

Addresses

Primary practice location

140 Elgar PL
Bronx, NY 10475-5201

Mailing address

26 Shepherds Dr
Scarsdale, NY 10583-7017
Phone (718) 708-7525

National Provider Directory

National Provider Directory

Locations

140 Elgar Pl
Bronx, NY 10475
Phone (718) 708-7525

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1316149776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SHEPHERDS DR",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105837017",
            "telephone_number": "718-708-7525",
            "fax_number": "718-708-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ELGAR PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104755201",
            "telephone_number": "718-708-7525",
            "fax_number": "718-708-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRINA SHUR INTERNAL MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "SHUR",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "718-708-7525",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "214511",
            "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 Mar 31, 2008; 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.