Individual provider Active NPI

Zhanneta Shapiro

  • Audiologist
  • Staten Island, NY
National Provider Identifier
1396777678
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002086 Issued in NY
Practice address
148 New Dorp LN 2ND
Staten Island, NY 10306-3004
Phone
(718) 980-0188
Fax
(888) 257-9323
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 002086 NY Primary

Addresses

Primary practice location

148 New Dorp LN 2ND
Staten Island, NY 10306-3004

Mailing address

148 New Dorp LN 2ND
Staten Island, NY 10306-3004
Phone (718) 980-0188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060811000056 NY Practitioner - Qualified Audiologist 2264445162 Reassigns benefits to 1 organization
I20230821000482 NJ Practitioner - Qualified Audiologist 2264445162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology Island PCGroup PAC ID 9739345729, 2 clinicians
Audiology Island of New Jersey, PCGroup PAC ID 5092177253, 2 clinicians

Practice addresses (Care Compare)

11 Ralph PL
Suite 304
Staten Island, NY 10304-4416
Phone (718) 980-0188

2080 Hwy 35
Suite 100
Holmdel, NJ 07733-1090
Phone (718) 980-0188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002086NYMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Island of New Jersey, PC Audiologist CurrentSince Aug 1, 2023 Accepting new patients
Audiology Island PC Audiologist CurrentSince May 21, 2012 Accepting new patients
New York University Audiologist Past Accepting new patients
Hearusa Inc Past Accepting new patients
Audiology Distribution, LLC PastSince Aug 14, 2014 Accepting new patients

Locations

10 Auer Ct
Ste 10C
East Brunswick, NJ 08816

2080 State Route 35
Ste 100
Holmdel, NJ 07733
Phone (718) 980-0188

245 Bricktown Way
Ste E
Staten Island, NY 10309

148 New Dorp Ln
#2
Staten Island, NY 10306
Phone (718) 483-7330

11 Ralph Pl
Ste 304
Staten Island, NY 10304
Phone (718) 980-0188

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1396777678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 NEW DORP LN 2ND",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063004",
            "telephone_number": "718-980-0188",
            "fax_number": "888-257-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 NEW DORP LN 2ND",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063004",
            "telephone_number": "718-980-0188",
            "fax_number": "888-257-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "ZHANNETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002086",
            "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 Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.