Active NPI
Zhengzhuan Shi, MD
- Obstetrics & Gynecology Physician
- Brooklyn, NY
National Provider Identifier
1477889764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 255139
- 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, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A400081699 | Other | NY | MEDICARE PROVIDER TRANSACTION ACCESS NUMBER |
| 03166694 | Medicaid | NY |
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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zhengzhuan Shi Medical P.C. | Obstetrics & Gynecology | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Brooklyn, NY
- NPI 1538425673
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.