Individual provider Active NPI

Zhengzhuan Shi, MD

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1477889764
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
255139 Issued in NY
Practice address
749 61St St
Ste 302
Brooklyn, NY 11220-4211
Phone
(718) 676-9398
Fax
(718) 676-9397
NPI assigned
Oct 22, 2009
Last updated
Mar 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 255139 NY Primary

Addresses

Primary practice location

749 61St St
Ste 302
Brooklyn, NY 11220-4211

Mailing address

749 61St St
Ste 302
Brooklyn, NY 11220-4211
Phone (718) 676-9398

Other identifiers 2

IdentifierTypeStateIssuer
A400081699OtherNYMEDICARE PROVIDER TRANSACTION ACCESS NUMBER
03166694MedicaidNY

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
I20130327000115 NY Practitioner - Obstetrics/Gynecology 8426293291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

749 61St St
Suite 302
Brooklyn, NY 11220-4211
Phone (718) 676-9398

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zhengzhuan Shi Medical P.C. Obstetrics & Gynecology CurrentSince Jun 8, 2010 Accepting new patients

Locations

749 61st St
Ste 302
Brooklyn, NY 11220
Phone (718) 676-9398

818 59th St
Ste 1
Brooklyn, NY 11220
Phone (718) 676-9398

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADJBCA/Endpoint/ADJBCA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1477889764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 61ST ST",
            "address_2": "STE 302",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204211",
            "telephone_number": "718-676-9398",
            "fax_number": "718-676-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 61ST ST",
            "address_2": "STE 302",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204211",
            "telephone_number": "718-676-9398",
            "fax_number": "718-676-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHI",
        "first_name": "ZHENGZHUAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "255139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER TRANSACTION ACCESS NUMBER",
            "identifier": "A400081699",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03166694",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.