Individual provider Active NPI

Alexander Shekhter, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1316924715
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
198143 Issued in NY
Practice address
2965 Ocean Pkwy
Suite 304
Brooklyn, NY 11235-8014
Phone
(718) 332-7916
Fax
(718) 332-7918
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 198143 NY Primary

Addresses

Primary practice location

2965 Ocean Pkwy
Suite 304
Brooklyn, NY 11235-8014

Mailing address

3111 Ocean Pkwy
Apt 7B
Brooklyn, NY 11235-8400
Phone (718) 332-7916

Other identifiers 3

IdentifierTypeStateIssuer
4383493OtherNYECFMG NUMBER
01551431MedicaidNY
198143OtherNYSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051101000043 NY Practitioner - Internal Medicine 3577580364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3111 Ocean Pkwy
Apt 7B
Brooklyn, NY 11235-8441
Phone (718) 332-7916

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
198143NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Breeze Medical P.C. Internal Medicine CurrentSince Aug 31, 2005 Accepting new patients
University Physicians Group P C Internal Medicine Past Accepting new patients

Locations

2727 Ocean Pkwy
Ste L2
Brooklyn, NY 11235
Phone (718) 332-7916

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1316924715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 OCEAN PKWY",
            "address_2": "APT 7B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358400",
            "telephone_number": "718-332-7916",
            "fax_number": "718-332-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 OCEAN PKWY",
            "address_2": "SUITE 304",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358014",
            "telephone_number": "718-332-7916",
            "fax_number": "718-332-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEKHTER",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "198143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG NUMBER",
            "identifier": "4383493",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01551431",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "198143",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.