NPIMap

Organization Active NPI

Nathaniel Shafer, M.D., P.C.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1487987780
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
076953 Issued in NY
Legal business name
NATHANIEL SHAFER, M.D., P.C.
Practice address
10 E 85TH St
New York, NY 10028-0412
Phone
(212) 289-7120
Fax
(212) 879-9364
NPI assigned
Sep 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Dr. Nathaniel Shafer, M.D.
Title
Principal
Phone
(212) 289-7120

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202C00000X 076953 NY
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 076953 NY Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 076953 NY

Addresses

Primary practice location

10 E 85TH St
New York, NY 10028-0412

Mailing address

10 E 85TH St
New York, NY 10028-0412
Phone (212) 289-7120

Other identifiers 2

IdentifierTypeStateIssuer
001-04921MedicaidNY
076953-9BOtherNYIME

National Provider Directory

National Provider Directory

Locations

969 Park Ave
Apt 2A
New York, NY 10028

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1487987780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E 85TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280412",
            "telephone_number": "212-289-7120",
            "fax_number": "212-879-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 85TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280412",
            "telephone_number": "212-289-7120",
            "fax_number": "212-879-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHANIEL SHAFER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "212-289-7120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Independent Medical Examiner",
            "state": "NY",
            "license": "076953",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "076953",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "076953",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001-04921",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IME",
            "identifier": "076953-9B",
            "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 Sep 17, 2009; 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.