Dr. Bruce Shaffer

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N2987 Issued in NY

Legal business name

DR. BRUCE SHAFFER

Practice address

667 Stoneleigh Ave
Suite 111
Carmel, NY 10512-2454

Phone

(845) 278-8637

Fax

(845) 278-8695

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bruce M Shaffer, D.P.M.NPI 1346233194

Title

Podiatrist

Phone

(845) 278-8637

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Marshall Shaffer, DPM

  • Podiatrist
  • Carmel, NY
  • NPI 1346233194
  NPD Authorized official

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1407038565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 STONELEIGH AVE",
            "address_2": "SUITE 111",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122454",
            "telephone_number": "845-278-8637",
            "fax_number": "845-278-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 STONELEIGH AVE",
            "address_2": "SUITE 111",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122454",
            "telephone_number": "845-278-8637",
            "fax_number": "845-278-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRUCE SHAFFER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "845-278-8637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N2987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00419452",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Dowd, LMSW
• Alyssa Margaret Downes, RN
• Daniel Charles Doyle, D.M.D.
• Dennis Christopher Doyle, D.D.S.
• Romina T Doyle, D.D.S.
• Michael Dubin, M.D.
• Rozalia Duda, RPA-C
• Harry Duffy, OTL
• Angel T Duncan, LCSW
• Norine A Durkin, LCSWR

• Podiatrist in Carmel, NY
• Providers in Carmel, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.