Individual provider Active NPI

Gregory Shifrin, MD

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1477688604
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
202259 Issued in NY
Practice address
1766 E 12TH St
Brooklyn, NY 11229-1014
Phone
(718) 743-0505
Fax
(718) 339-0760
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 202259 NY Primary

Addresses

Primary practice location

1766 E 12TH St
Brooklyn, NY 11229-1014

Mailing address

1766 E 12TH St
Brooklyn, NY 11229-1014
Phone (718) 743-0505

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050401000964 NY Practitioner - Obstetrics/Gynecology 3870540743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Gregory Shifrin OB/GYN PCGroup PAC ID 9830128271, 5 clinicians

Practice addresses (Care Compare)

1766 E 12 St
Brooklyn, NY 11229-1014
Phone (718) 743-0505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202259NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Gregory Shifrin OBGYN PC CurrentSince Mar 10, 2005 Accepting new patients
Surgery of Tomorrow, LLC PastSince Feb 16, 2017 Accepting new patients

Locations

1502 E 14th St
Ste 2
Brooklyn, NY 11230
Phone (347) 541-6241

1766 E 12th St
Brooklyn, NY 11229
Phone (718) 375-2200

Interoperability endpoints

  • Direct secure messaging: grs2002@direct.nyp.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477688604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1766 E 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291014",
            "telephone_number": "718-743-0505",
            "fax_number": "718-339-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 E 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291014",
            "telephone_number": "718-743-0505",
            "fax_number": "718-339-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFRIN",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "202259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.