Individual provider Active NPI

Morris Shamah, MD PC

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1346211588
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
101383 Issued in NY
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

Updated by the provider on Jan 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
112469194OtherNY1199 BENEFIT FUND
112469194OtherNYHEALTH INSURANCE PLAN
00174378MedicaidNY
0049128OtherNYGROUP HEALTH INC.
KS449OtherNYOXFORD 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

LicenseStateTypeSpecialty
101383NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Surgery Associates PLLC Ophthalmology PastSince Dec 15, 2015 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.

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.

Verify at the official NPI Registry.