Active NPI
Shunpei Okochi, M.D.
- Pediatric Surgery Physician
- New York, NY
National Provider Identifier
1366880049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 280668
- Practice address
- 1184 5TH Ave
New York, NY 10029-6503 - Phone
- (212) 241-9500
- NPI assigned
- Jun 4, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Surgery Physician | 2086S0120X | 280668 | NY | Primary |
Addresses
Primary practice location
1184 5TH Ave
New York, NY 10029-6503
Mailing address
1184 5TH Ave
New York, NY 10029-6503
Phone (212) 241-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 280668 | NY | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Pediatric Surgery | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients | |
| Valley Physician Services PC | Past | Accepting new patients |
Locations
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915
13620 38th Ave
Flushing, NY 11354
Phone (718) 353-7701
1184 5th Ave
New York, NY 10029
Phone (212) 241-7500
5 E 98th St
New York, NY 10029
Phone (212) 241-3986
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- shunpei.okochi.1@5622.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
-
- Surgery Physician
- New York, NY
- NPI 1770823551
-
- Surgery Physician
- Elmhurst, NY
- NPI 1073867040
Pediatric Surgery
-
- Critical Care Medicine (Anesthesiology) Physician
- New York, NY
- NPI 1215488127
-
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1619221686
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1467815928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1366880049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1184 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296503",
"telephone_number": "212-241-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1184 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296503",
"telephone_number": "212-241-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKOCHI",
"first_name": "SHUNPEI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-04",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "NY",
"license": "280668",
"primary": true
}
],
"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 Aug 30, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.