Active NPI
David Shuai-Wei Shi
- Anesthesiology Physician
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA10382700
- Practice address
- 56-45 Main Street
Dept. of Anesthesiology
Flushing, NY 11355 - Phone
- (718) 670-2597
- NPI assigned
- Nov 4, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 268142 | NY | |
| Pediatric Anesthesiology Physician | 207LP3000X | 268142 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 25MA10382700 | NJ | Primary |
Addresses
Primary practice location
56-45 Main Street
Dept. of Anesthesiology
Flushing, NY 11355
Mailing address
718 Teaneck Rd
Department of Anesthesiology
Teaneck, NJ 07666
Phone (201) 833-7149
Other practice location 1
718 Teaneck Rd
Department of Anesthesiology
Teaneck, NJ 07666
Phone (201) 833-7149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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
- Anesthesiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-2300
Hospital & facility affiliations
- Holy Name Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Name Anesthesia Partners | Anesthesiology | Current | Accepting new patients |
| Ambulatory Center for Endoscopy, LLC | Current | Accepting new patients |
Locations
9226 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 295-0900
9226 Kennedy Blvd
Unit A
North Bergen, NJ 07047
Phone (201) 295-0900
7600 River Rd
Fl 4
North Bergen, NJ 07047
Phone (201) 295-4805
718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Teaneck, NJ
- NPI 1457907461
-
- Ambulatory Surgical Clinic/Center
- North Bergen, NJ
- NPI 1184009326
-
- Ambulatory Surgical Clinic/Center
- North Bergen, NJ
- NPI 1003842626
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Teaneck, NJ
- NPI 1043389349
Hospital
-
- General Acute Care Hospital
- Teaneck, NJ
- NPI 1104859131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562976000000",
"number": "1427201441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 TEANECK RD",
"address_2": "DEPARTMENT OF ANESTHESIOLOGY",
"city": "TEANECK",
"state": "NJ",
"postal_code": "07666",
"telephone_number": "201-833-7149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56-45 MAIN STREET",
"address_2": "DEPT. OF ANESTHESIOLOGY",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"telephone_number": "718-670-2597"
}
],
"practiceLocations": [
{
"address_1": "718 Teaneck Rd",
"address_2": "Department of Anesthesiology",
"address_purpose": "LOCATION",
"city": "Teaneck",
"state": "NJ",
"postal_code": "07666",
"country_code": "US",
"telephone_number": "201-833-7149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHI",
"first_name": "DAVID",
"middle_name": "SHUAI-WEI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-04",
"last_updated": "2019-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "268142",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "NY",
"license": "268142",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA10382700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2019; 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.