Individual provider Active NPI

Shelley Z Bi, PA

  • Physician Assistant
  • New York, NY
National Provider Identifier
1396256525
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
021253 Issued in NY
Practice address
945 5TH Ave
New York, NY 10021-2661
Phone
(646) 687-7600
NPI assigned
Oct 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 58272 CA
Physician Assistant 363A00000X 021253 NY Primary

Addresses

Primary practice location

945 5TH Ave
New York, NY 10021-2661

Mailing address

6776 Booth St Apt 4M
Forest Hills, NY 11375-3112
Phone (347) 279-7475

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180205001359 NY Practitioner - Physician Assistant 6507126950 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

Practice addresses (Care Compare)

1240 Ulster Ave
Kingston, NY 12401-1517
Phone (845) 585-1270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
58272CAMDOrthodontics and Dentofacial Orthopedic Dentist
021253NYMDMental Health Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brookdale Hospital Medical Center CurrentSince Aug 28, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 15, 2023 Accepting new patients
Fpa Hospital Based CurrentSince Aug 15, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Dec 15, 2017 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Aug 28, 2023 Accepting new patients
North Shore Lij, Urgent Care, P.C. CurrentSince Nov 1, 2025 Accepting new patients
Fpa Hospital Based CurrentSince Aug 15, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 15, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Dec 15, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

703 Route 9
Ste 3
Fishkill, NY 12524
Phone (845) 202-5044

5828 99th St
Flushing, NY 11368
Phone (718) 502-9867

1240 Ulster Ave
Kingston, NY 12401
Phone (845) 443-8720

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

234 E 85th St
New York, NY 10028
Phone (212) 241-6585

1468 Madison Ave
#3220
New York, NY 10029

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

1440 Madison Ave
New York, NY 10029
Phone (212) 241-5561

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061

377 S Oyster Bay Rd
#13202
Plainview, NY 11803
Phone (516) 537-9061

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sbi@montefioredirect.com
  • Direct secure messaging: shelley.bi.1@25843.direct.athenahealth.com
  • Direct secure messaging: shelley.bi@ghuc.eclinicaldirectplus.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1396256525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6776 BOOTH ST APT 4M",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753112",
            "telephone_number": "347-279-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212661",
            "telephone_number": "646-687-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BI",
        "first_name": "SHELLEY",
        "middle_name": "Z",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58272",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.