Individual provider Active NPI

Shoshanah E Kahn, M.D.,

  • Clinical Cardiac Electrophysiology Physician
  • Cedarhurst, NY
National Provider Identifier
1518944743
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
1907031 Issued in NY
Practice address
222 Rockaway Tpke Ste 2
Cedarhurst, NY 11516-1833
Phone
(516) 812-5066
Fax
(718) 795-1966
NPI assigned
Dec 29, 2005
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 1907031 NY Primary

Addresses

Primary practice location

222 Rockaway Tpke Ste 2
Cedarhurst, NY 11516-1833

Mailing address

545 Clubhouse Rd
Woodmere, NY 11598-1901
Phone (347) 282-8895

Other identifiers 1

IdentifierTypeStateIssuer
02210722MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040715000995 NY Practitioner - Cardiovascular Disease (Cardiology) 1052390879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Albert Einstein College of Medicine of Yeshiva University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

222 Rockaway Tpke
Suite 2
Cedarhurst, NY 11516-1833
Phone (516) 812-5066

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.96 of 100Reported as individual
Quality
35
Improvement activities
0
Cost
79.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1907031NYMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Rhythm Consultants, PC Clinical Cardiac Electrophysiology CurrentSince Mar 26, 2007 Accepting new patients
N. S. So Island Diag GRP Past Accepting new patients
South Island Gastroenterology Associates PC Past Accepting new patients
North Shore-Lij Medical PC Past Accepting new patients
Neponsit Medical PC PastSince Jul 30, 2010 Accepting new patients
Cardiology Services, PC PastSince Jan 1, 1999 Accepting new patients

Locations

222 Rockaway Tpke
Ste 2
Cedarhurst, NY 11516
Phone (516) 812-5066

2004 Seagirt Blvd
Far Rockaway, NY 11691
Phone (718) 868-8668

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

900 Franklin Ave
Valley Stream, NY 11580
Phone (516) 256-6000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJGCDA

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1518944743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 CLUBHOUSE RD",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981901",
            "telephone_number": "347-282-8895",
            "fax_number": "718-795-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ROCKAWAY TPKE STE 2",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161833",
            "telephone_number": "516-812-5066",
            "fax_number": "718-795-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "SHOSHANAH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NY",
            "license": "1907031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02210722",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

Verify at the official NPI Registry.