Organization Active NPI

Carole Lynne Shear, M.D., P.C.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1477870434
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
140666 Issued in NY
Legal business name
CAROLE LYNNE SHEAR, M.D., P.C.
Practice address
114 E 72ND St
Suite B
New York, NY 10021-4245
Phone
(212) 472-2890
Fax
(212) 472-1971
NPI assigned
Apr 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Mrs. Marie Spagnoli
Title
Office Manager
Phone
(212) 472-2890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 140666 NY Primary

Addresses

Primary practice location

114 E 72ND St
Suite B
New York, NY 10021-4245

Mailing address

114 E 72ND St
Suite B
New York, NY 10021-4245
Phone (212) 472-2890

Other identifiers 2

IdentifierTypeStateIssuer
00471072MedicaidNY
24A571OtherNYEMPIRE BLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1477870434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E 72ND ST",
            "address_2": "SUITE B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214245",
            "telephone_number": "212-472-2890",
            "fax_number": "212-472-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E 72ND ST",
            "address_2": "SUITE B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214245",
            "telephone_number": "212-472-2890",
            "fax_number": "212-472-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLE LYNNE SHEAR, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "SPAGNOLI",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "212-472-2890",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "140666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00471072",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SHIELD",
            "identifier": "24A571",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.