Organization Active NPI

James J. Shen, M.D., P.C.

  • Pediatrics Physician
  • Staten Island, NY
National Provider Identifier
1366652349
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
116662 Issued in NY
Legal business name
JAMES J. SHEN, M.D., P.C.
Practice address
453 Colon Ave
Staten Island, NY 10308-1419
Phone
(718) 948-2121
Fax
(718) 967-1281
NPI assigned
May 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Juh Shen, M.D.NPI 1477639029
Title
Doctor
Phone
(718) 948-2121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 116662 NY Primary

Addresses

Primary practice location

453 Colon Ave
Staten Island, NY 10308-1419

Mailing address

453 Colon Ave
Staten Island, NY 10308-1419
Phone (718) 948-2121

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366652349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 COLON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081419",
            "telephone_number": "718-948-2121",
            "fax_number": "718-967-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 COLON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081419",
            "telephone_number": "718-948-2121",
            "fax_number": "718-967-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J. SHEN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JUH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-948-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "116662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.