Organization Active NPI

Yuriy Shepelyak Medicine P C

  • Pain Medicine Physician
  • New York, NY
National Provider Identifier
1376066951
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
288641-1 Issued in NY
Legal business name
YURIY SHEPELYAK MEDICINE P C
Practice address
515 Madison Ave FL 6
New York, NY 10022-5403
Phone
(212) 752-6770
Fax
(212) 754-0369
NPI assigned
Jul 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Yuriy Shepelyak, MD
Title
Owner
Phone
(212) 752-6770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 288641-1 NY Primary

Addresses

Primary practice location

515 Madison Ave FL 6
New York, NY 10022-5403

Mailing address

515 Madison Ave FL 6
New York, NY 10022-5403
Phone (212) 752-6770

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376066951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MADISON AVE FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225403",
            "telephone_number": "212-752-6770",
            "fax_number": "212-754-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MADISON AVE FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225403",
            "telephone_number": "212-752-6770",
            "fax_number": "212-754-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YURIY SHEPELYAK MEDICINE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHEPELYAK",
        "authorized_official_first_name": "YURIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-752-6770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "288641-1",
            "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 Jul 21, 2022; 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.