Midtown Internal Medicine PLLC

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

License

233206 Issued in NY

Legal business name

MIDTOWN INTERNAL MEDICINE PLLC

Practice address

133 E 58TH St
Suite 301
New York, NY 10022-1236

Phone

(212) 980-0011

Fax

(212) 980-0019

NPI assigned

May 27, 2006

Last updated

Oct 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Gerard Shaw, MD

Title

Prinicipal Officer

Phone

(212) 980-0011

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1346297496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E 58TH ST",
            "address_2": "SUITE 301",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221236",
            "telephone_number": "212-980-0011",
            "fax_number": "212-980-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E 58TH ST",
            "address_2": "SUITE 301",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221236",
            "telephone_number": "212-980-0011",
            "fax_number": "212-980-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PRINICIPAL OFFICER",
        "authorized_official_telephone_number": "212-980-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NY",
            "license": "233206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allergy & Immunology (Internal Medicine) Physician in New York, NY
• Providers in New York, NY by specialty
• Allergy & Immunology (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.