Active NPI
Celia Shmukler, M.D.
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1336400910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 169218-1
- Practice address
- 330 W 42ND St
12TH Floor
New York, NY 10036-6902 - Phone
- (646) 473-8977
- NPI assigned
- May 31, 2012
- Last updated
- May 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 169218-1 | NY | Primary |
Addresses
Primary practice location
330 W 42ND St
12TH Floor
New York, NY 10036-6902
Mailing address
330 W 42ND St
12TH Floor
New York, NY 10036-6902
Phone (646) 473-8977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 169218-1 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338422400000",
"number": "1336400910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 W 42ND ST",
"address_2": "12TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100366902",
"telephone_number": "646-473-8977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 W 42ND ST",
"address_2": "12TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100366902",
"telephone_number": "646-473-8977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHMUKLER",
"first_name": "CELIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-31",
"last_updated": "2012-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "169218-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.