Active NPI
Shelly Latte-Naor, M.D.
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1356503346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MT192126
- Practice address
- 139 Centre St PH 120
New York, NY 10013-4559 - Phone
- (267) 690-4667
- NPI assigned
- Jun 30, 2008
- Last updated
- Jun 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT192126 | PA | Primary |
| Infectious Disease Physician | 207RI0200X | AT9120469 | NY | |
| Infectious Disease Physician | 207RI0200X | AS9148277 | NY |
Addresses
Primary practice location
139 Centre St PH 120
New York, NY 10013-4559
Mailing address
654 Carroll St Apt 1R
Brooklyn, NY 11215-2061
Phone (267) 690-4667
Other practice location 1
429 4th Ave Fl 7
Pittsburgh, PA 15219-1500
Phone (267) 690-4667
Other practice location 2
1 Gateway Ctr Ste 2006
Newark, NJ 07102-5321
Phone (267) 690-4667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 10, 2024 through Jul 10, 2028
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75.9 of 100
- Quality
- 85.5
- Improvement activities
- 40
- Cost
- 27.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT192126 | PA | MD | Internal Medicine Physician |
| AT9120469 | NY | MD | Infectious Disease Physician |
| AS9148277 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Womens Care PC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- shelly.latte-naor.1@26402.direct.athenahealth.com
- shelly.latte-naor.1@27069.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Midi Health PC
- Obstetrics & Gynecology Physician
- Palo Alto, CA
- NPI 1972266732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1356503346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "654 CARROLL ST APT 1R",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112152061",
"telephone_number": "267-690-4667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 CENTRE ST PH 120",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134559",
"telephone_number": "267-690-4667"
}
],
"practiceLocations": [
{
"address_1": "429 4th Ave Fl 7",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152191500",
"country_code": "US",
"telephone_number": "267-690-4667",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Gateway Ctr Ste 2006",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071025321",
"country_code": "US",
"telephone_number": "267-690-4667",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LATTE-NAOR",
"first_name": "SHELLY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-30",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT192126",
"primary": true
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "AT9120469",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "AS9148277",
"primary": false
}
],
"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 Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.