Active NPI
Morris Shamah, MD PC
- Ophthalmology Physician
- Brooklyn, NY
National Provider Identifier
1346211588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 101383
- Practice address
- 1636 E 14TH St
Brooklyn, NY 11229-1100 - Phone
- (718) 627-2400
- Fax
- (718) 382-4493
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 101383 | NY | Primary |
Addresses
Primary practice location
1636 E 14TH St
Brooklyn, NY 11229-1100
Mailing address
1636 E 14TH St
Brooklyn, NY 11229-1100
Phone (718) 627-2400
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112469194 | Other | NY | 1199 BENEFIT FUND |
| 112469194 | Other | NY | HEALTH INSURANCE PLAN |
| 00174378 | Medicaid | NY | |
| 0049128 | Other | NY | GROUP HEALTH INC. |
| KS449 | Other | NY | OXFORD HEALTH PLAN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101383 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Surgery Associates PLLC | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Brooklyn, NY
- NPI 1750751319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200441600000",
"number": "1346211588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1636 E 14TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291100",
"telephone_number": "718-627-2400",
"fax_number": "718-382-4493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1636 E 14TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291100",
"telephone_number": "718-627-2400",
"fax_number": "718-382-4493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMAH",
"first_name": "MORRIS",
"credential": "MD PC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2008-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "101383",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199 BENEFIT FUND",
"identifier": "112469194",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH INSURANCE PLAN",
"identifier": "112469194",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00174378",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH INC.",
"identifier": "0049128",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "KS449",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.