Organization Active NPI

E Shapiro DPM PC

  • Podiatric Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1497054704
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
004180 Issued in NY
Legal business name
E SHAPIRO DPM PC
Practice address
301 Ocean View Ave
Brooklyn, NY 11235-6826
Phone
(718) 332-2582
Fax
(718) 743-3963
NPI assigned
Mar 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Dr. Eugene Shapiro, DPMNPI 1518036698
Title
Podiatrist
Phone
(718) 332-2582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 004180 NY Primary

Addresses

Primary practice location

301 Ocean View Ave
Brooklyn, NY 11235-6826

Mailing address

301 Ocean View Ave
Brooklyn, NY 11235-6826
Phone (718) 332-2582

Other identifiers 2

IdentifierTypeStateIssuer
6633640001OtherNYDME PTAN
00989813MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110810000109 NY Part B Supplier - Clinic/Group Practice 4688843543 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY
O20120215000244 NY DME Supplier - Physician - Podiatry 4688843543 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

301 Ocean View Ave
Brooklyn, NY 11235
Phone (347) 739-4583

Practitioners & affiliated clinicians

Practitioners 1

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": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1497054704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 OCEAN VIEW AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356826",
            "telephone_number": "718-332-2582",
            "fax_number": "718-743-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OCEAN VIEW AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356826",
            "telephone_number": "718-332-2582",
            "fax_number": "718-743-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E SHAPIRO DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "718-332-2582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NY",
            "license": "004180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PTAN",
            "identifier": "6633640001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00989813",
            "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 Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.