Individual provider Active NPI

Rebecca Miriam Shafir, RN

  • Registered Nurse
  • Staten Island, NY
National Provider Identifier
1487349759
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
829527 Issued in NY
Practice address
953 Westwood Ave Side Door
Staten Island, NY 10314-4245
Phone
(347) 863-7575
NPI assigned
Apr 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 829527 NY Primary

Addresses

Primary practice location

953 Westwood Ave Side Door
Staten Island, NY 10314-4245

Mailing address

953 Westwood Ave Side Door
Staten Island, NY 10314-4245
Phone (347) 863-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
829527NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1487349759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 WESTWOOD AVE SIDE DOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144245",
            "telephone_number": "347-863-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 WESTWOOD AVE SIDE DOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144245",
            "telephone_number": "347-863-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFIR",
        "first_name": "REBECCA",
        "middle_name": "MIRIAM",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "829527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.