Active NPI
Charles Wintour Shaffer, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1487009486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 290321
- Practice address
- 525 E 68TH St
Box 140
New York, NY 10065-4870 - Phone
- (212) 746-5709
- Fax
- (212) 746-5944
- NPI assigned
- Apr 27, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 290321 | NY | Primary |
Addresses
Primary practice location
525 E 68TH St
Box 140
New York, NY 10065-4870
Mailing address
525 E 68TH St
Box 140
New York, NY 10065-4870
Phone (212) 746-5709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The New York and Presbyterian Hospital | Current | Accepting new patients | |
| The New York and Presbyterian Hospital | Current | Accepting new patients |
Locations
525 E 68th St
#140
New York, NY 10065
Phone (212) 746-3720
21 Bloomingdale Rd
White Plains, NY 10605
Phone (914) 682-9100
21 Bloomingdale Rd
#159
White Plains, NY 10605
Phone (914) 682-9100
Interoperability endpoints
- cws7004@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.
-
- Community/Retail Pharmacy
- White Plains, NY
- NPI 1457057226
-
- Nutritionist
- New York, NY
- NPI 1891857025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500854400000",
"number": "1487009486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 E 68TH ST",
"address_2": "BOX 140",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100654870",
"telephone_number": "212-746-5709",
"fax_number": "212-746-5944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E 68TH ST",
"address_2": "BOX 140",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100654870",
"telephone_number": "212-746-5709",
"fax_number": "212-746-5944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "CHARLES",
"middle_name": "WINTOUR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-27",
"last_updated": "2017-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "290321",
"primary": true
}
],
"identifiers": [],
"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 Jul 24, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.