Shanti Nandiwada Bisbee, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

302513 Issued in NY

Practice address

100 E 77TH St
New York, NY 10075-1850

Phone

(212) 434-2135

NPI assigned

Apr 8, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1457747263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751850",
            "telephone_number": "212-434-2135",
            "fax_number": "301-475-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751850",
            "telephone_number": "212-434-2135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Mockingbird Dr",
            "address_purpose": "LOCATION",
            "city": "Colts Neck",
            "state": "NJ",
            "postal_code": "077222228",
            "country_code": "US",
            "telephone_number": "732-683-0827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25500 Point Lookout Rd",
            "address_purpose": "LOCATION",
            "city": "Leonardtown",
            "state": "MD",
            "postal_code": "206502015",
            "country_code": "US",
            "telephone_number": "240-434-7154",
            "fax_number": "301-475-6190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISBEE",
        "first_name": "SHANTI",
        "middle_name": "NANDIWADA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "H85422",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "302513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriane R. Birt, M.D.
• Birthwrx Corp.
• Samantha Malayao Birung
• Arunas Leonas Birutis, RN
• Francesca Biryukov, LAC
• Zoe Lenna Bisbing, LCSW
• Erica Bischoff, PA-C
• Janette Bischoff, LPMHC
• Sherre Bischoff, B.C.M.T.
• Nudrat Bisciello, N.P.

• Pediatrics Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.