Individual provider Active NPI

Neal Michael Shipley, M.D.

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1417055468
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
175842 Issued in NY
Practice address
199 Amsterdam Avenue
New York, NY 10023
Phone
(212) 721-4200
Fax
(212) 721-4201
NPI assigned
Sep 20, 2006
Last updated
Oct 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA07698900 NJ
Emergency Medicine Physician 207P00000X 175842 NY Primary

Addresses

Primary practice location

199 Amsterdam Avenue
New York, NY 10023

Mailing address

136 W 95TH St
New York, NY 10025-6604
Phone (212) 866-3366

Other identifiers 1

IdentifierTypeStateIssuer
0181421MedicaidNJ

Other names 1

  • Neal Michael Shipley Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080915000170 NY Practitioner - Emergency Medicine 5597652032 Reassigns benefits to 2 organizations
I20241015001757 CT Practitioner - Emergency Medicine 5597652032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1987
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)

1011 High Ridge Rd
Suite 101
Stamford, CT 06905-1604
Phone (475) 477-2330

199 Amsterdam Ave
New York, NY 10023-5024
Phone (646) 863-0463

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Emergency Medicine CurrentSince Jan 18, 2018 Accepting new patients
North Shore Lij, Urgent Care, P.C. CurrentSince Aug 1, 2015 Accepting new patients
Jersey City Medical Center Emergency Medicine Past Accepting new patients
Madison Avenue Emergency Medicine PC Emergency Medicine Past Accepting new patients
Greenville Hospital Emergency Medicine Past Accepting new patients
24-7 Emergency Care, PC Past Accepting new patients

Locations

205 Main St
Ste 7
Norwalk, CT 06851
Phone (475) 257-6057

1011 High Ridge Rd
Ste 101
Stamford, CT 06905
Phone (475) 477-2330

5555 Glenridge Connector
Ste 700
Sandy Springs, GA 30342
Phone (470) 567-7780

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

300 Community Dr
Manhasset, NY 11030

100 E 77th St
#11
New York, NY 10075
Phone (212) 434-2606

199 Amsterdam Ave
New York, NY 10023
Phone (212) 721-4200

30 7th Ave
New York, NY 10011
Phone (646) 665-6000

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

240 Meeting House Ln
Southampton, NY 11968
Phone (631) 726-0409

Networks

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

Interoperability endpoints

  • Direct secure messaging: neal.shipley@ghuc.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1417055468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 W 95TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256604",
            "telephone_number": "212-866-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 AMSTERDAM AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "212-721-4200",
            "fax_number": "212-721-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPLEY",
        "first_name": "NEAL",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA07698900",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "175842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181421",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEAL",
            "last_name": "SHIPLEY",
            "middle_name": "MICHAEL",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.