Kristin Sheppard

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

337498-01 Issued in NY

Practice address

1060 5TH Ave
New York, NY 10128-0104

Phone

(212) 988-8269

NPI assigned

Mar 24, 2020

Last updated

Dec 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Specialty

General Surgery

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Surgical Specialists of Greater Ny LLPGroup PAC ID 3375729833, 12 clinicians

Northeast Surgical Specialists of NJ PCGroup PAC ID 4082109350, 5 clinicians

Surgical Specialists of New Jersey New York PCGroup PAC ID 0840643987, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Surgical Specialists of Greater Ny LLP

  • Surgery Physician
  • Oyster Bay, NY
  • NPI 1023315512
  Medicare reassignment Care Compare group NPD
• Surgical Specialists of New Jersey New York PC

  • Surgery Physician
  • Oyster Bay Cove, NY
  • NPI 1245922574

  NJ

  Medicare reassignment Care Compare group NPD
• Northeast Surgical Specialists of NJ PC

  • Surgery Physician
  • Englewood Cliffs, NJ
  • NPI 1780555060
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Englewood Hospital and Medical Center

  • General Acute Care Hospital
  • Englewood, NJ
  • NPI 1083612881
  Care Compare affiliation

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1316574965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280104",
            "telephone_number": "212-988-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "337498-01",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MB12749500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rona Shepherd, LCSW
• Shannon Gunnip Shepherd, LMHC, LPCC, LPC
• Timothy Michael Shepherd, M.D., PH.D.
• Linelle Shepp, MSPT
• Bethany Leigh Sheppard, CRNA
• Kristin Michelle Sheppard, PA
• Alexander Sheppe
• Gerald Jay Shepps, MD
• Daniel Shepshelovich, MD
• Debra Ann Shepsman

• Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.