Scott Shukri, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

012736-1 Issued in NY

Practice address

100 E 77TH St
Black Hall 4TH Floor
New York, NY 10075-1850

Phone

(212) 434-3000

NPI assigned

Sep 16, 2008

Last updated

Sep 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1477702314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 77TH ST",
            "address_2": "BLACK HALL 4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 77TH ST",
            "address_2": "BLACK HALL 4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751850",
            "telephone_number": "212-434-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKRI",
        "first_name": "SCOTT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012736-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pratibha Shukla, M.D.
• Seema Shukla, DO, MPH
• Simi Tolani Shukla, LCAT
• Toesha Manishkumar Shukla, PHYSICAL THERAPIST
• Brett Shukri, PA-C
• Max Shulaker, MD
• Sarah Shulbank-Smith, MA, MT-BC
• Marc Shuldiner, PSYD
• Tally Shuldiner
• Lashanda Shuler Hawkins, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.