Individual provider Active NPI

Shawn H Zimberg, MD

  • Radiation Oncology Physician
  • Plainview, NY
National Provider Identifier
1528021714
Registry record updated Apr 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
190213 Issued in NY
Practice address
688 Old Country Rd
Plainview, NY 11803-4911
Phone
(516) 932-6007
Fax
(516) 932-6017
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 190213 NY Primary

Addresses

Primary practice location

688 Old Country Rd
Plainview, NY 11803-4911

Mailing address

688 Old Country Rd
Plainview, NY 11803-4911
Phone (516) 932-6007

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
I20040416001404 NY Practitioner - Radiation Oncology 2668467846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Michigan Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 S Central Ave
Hartsdale, NY 10530-2317
Phone (914) 298-5200

1324 Motor Pkwy
Islandia, NY 11749-5262
Phone (631) 963-7700

2 Medical Park Dr
West Nyack, NY 10994-1966

3111 New Hyde Park Rd
New Hyde Park, NY 11042-1209
Phone (516) 394-9600

4100 Duff PL
A
Seaford, NY 11783-1324
Phone (516) 520-8080

688 Old Country Rd
Plainview, NY 11803-4911
Phone (516) 932-6007

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
75.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
190213NYMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Professionals PLLC CurrentSince Jun 1, 2006 Accepting new patients
Integrated Medical Professionals PLLC Radiation Oncology CurrentSince Jun 1, 2006 Accepting new patients
Lake Success Medical Pet Scan Past Accepting new patients

Locations

2510 Westchester Ave
Ste B
Bronx, NY 10461
Phone (718) 517-3000

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041

5 Cuba Hill Rd
Ste 400
Greenlawn, NY 11740
Phone (631) 544-3400

101 S Central Ave
Hartsdale, NY 10530
Phone (516) 461-2428

1324 Motor Pkwy
Islandia, NY 11749
Phone (631) 963-7700

120 Warren St
New Rochelle, NY 10801
Phone (914) 633-7214

3111 New Hyde Park Rd
North New Hyde Pk, NY 11042
Phone (516) 365-6100

688 Old Country Rd
Plainview, NY 11803
Phone (516) 932-6007

4100 Duff Pl
#A
Seaford, NY 11783
Phone (516) 520-8080

2 Medical Park Dr
Ste 9
West Nyack, NY 10994
Phone (845) 517-1720

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301702400000",
    "number": "1528021714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034911",
            "telephone_number": "516-932-6007",
            "fax_number": "516-932-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034911",
            "telephone_number": "516-932-6007",
            "fax_number": "516-932-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMBERG",
        "first_name": "SHAWN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2011-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "190213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.