Active NPI
Mark Sheynshteyn, D.O
- Endocrinology, Diabetes & Metabolism Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 279051
- Practice address
- 1366 Victory Blvd Ste a
Staten Island, NY 10301-3948 - Phone
- (718) 727-1366
- Fax
- (718) 727-5041
- NPI assigned
- Apr 23, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 77673 | GA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 279051 | NY | Primary |
Addresses
Primary practice location
1366 Victory Blvd Ste a
Staten Island, NY 10301-3948
Mailing address
963 Rathbun Ave
Staten Island, NY 10309-2224
Phone (347) 615-6331
Other practice location 1
2069 85th St Apt 5A
Brooklyn, NY 11214-3230
Phone (347) 615-6331
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
- Endocrinology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1366 Victory Blvd
Suite a
Staten Island, NY 10301-3948
Phone (718) 816-4949
Hospital & facility affiliations
- Richmond University Medical Center
- Staten Island University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77673 | GA | MD | Endocrinology, Diabetes & Metabolism Physician |
| 279051 | NY | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amboy Medical Practice PC | Current | Accepting new patients | |
| Amboy Medical Practice PC | Current | Accepting new patients |
Locations
4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015
1366 Victory Blvd
Staten Island, NY 10301
Phone (718) 273-3400
4360 Hylan Blvd
Staten Island, NY 10312
Phone (718) 818-4360
1366 Victory Blvd
Ste A
Staten Island, NY 10301
Phone (718) 727-1366
355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380
800 Castleton Ave
Staten Island, NY 10310
Phone (718) 354-3344
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- mark.sheynshteyn.1@19656.direct.athenahealth.com
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.
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1700037975
-
- Pediatrics Physician
- Fresh Meadows, NY
- NPI 1003114851
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1104692672
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1740389154
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1447517883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "963 RATHBUN AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103092224",
"telephone_number": "347-615-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1366 VICTORY BLVD STE A",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013948",
"telephone_number": "718-727-1366",
"fax_number": "718-727-5041"
}
],
"practiceLocations": [
{
"address_1": "2069 85th St Apt 5A",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112143230",
"country_code": "US",
"telephone_number": "347-615-6331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEYNSHTEYN",
"first_name": "MARK",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-23",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "GA",
"license": "77673",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "279051",
"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 Jan 27, 2021; 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.