Active NPI
Mikhail Shapiro, DO
- Physical Medicine & Rehabilitation Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 209819
- Practice address
- 2583 Ocean Ave
Brooklyn, NY 11229-4552 - Phone
- (718) 648-1111
- Fax
- (718) 648-5700
- NPI assigned
- Sep 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 209819 | NY | Primary |
Addresses
Primary practice location
2583 Ocean Ave
Brooklyn, NY 11229-4552
Mailing address
16 Lamoka Ave
Staten Island, NY 10308-2025
Phone (718) 648-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01897194 | Medicaid | NY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1811 Hone Ave
Bronx, NY 10461-1406
Phone (718) 518-1133
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209819 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Concept Rehabilitation Medicine PC | Current | Accepting new patients | |
| Dr.Shapiro Excel Rehabilitation PC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Queens Boulevard Extended Care Facility Management LLC | Past | Accepting new patients | |
| Intermed Care PC | Past | Accepting new patients | |
| Healthpoint Medical Group, LLC | Past | Accepting new patients |
Locations
3895 Route 516
Ste 2B
Old Bridge, NJ 08857
Phone (732) 679-4500
3155 Grace Ave
Bronx, NY 10469
Phone (718) 304-2866
1811 Hone Ave
Bronx, NY 10461
Phone (516) 499-9016
3035 W 24th St
Brooklyn, NY 11224
Phone (347) 348-1518
2865 Brighton 3rd St
Brooklyn, NY 11235
Phone (718) 645-1118
18515 HL Side Ave
Jamaica, NY 11432
Phone (718) 262-8651
18515 HL Side Ave
Jamaica, NY 11432
Phone (718) 262-8651
6111 Queens Blvd
Woodside, NY 11377
Phone (718) 205-0287
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://api.platform.athenahealth.com/21268/brand/1/csg/1/fhir/r4
- mikhail.shapiro.1@21268.direct.athenahealth.com
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Brooklyn, NY
- NPI 1275717175
-
- Physical Medicine & Rehabilitation Physician
- Old Bridge, NJ
- NPI 1568807550
-
- Legal Medicine
- Brooklyn, NY
- NPI 1144235516
-
- Skilled Nursing Facility
- Woodside, NY
- NPI 1972926681
-
- Orthopaedic Surgery Physician
- Old, NJ
- NPI 1225111453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374105600000",
"number": "1417049123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 LAMOKA AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103082025",
"telephone_number": "718-648-1111",
"fax_number": "718-648-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2583 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112294552",
"telephone_number": "718-648-1111",
"fax_number": "718-648-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "MIKHAIL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2013-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "209819",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01897194",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.
- 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.