Organization Active NPI

Janet Shen MD PC

  • Pediatrics Physician
  • Staten Island, NY
National Provider Identifier
1568948461
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2227641 Issued in NY
Legal business name
JANET SHEN MD PC
Practice address
453 Colon Ave
Staten Island, NY 10308-1419
Phone
(718) 948-2121
Fax
(718) 967-1281
NPI assigned
Jul 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Authorized official

Name
Janet Shen Lim, MD
Title
Owner
Phone
(718) 948-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 2227641 NY Primary

Addresses

Primary practice location

453 Colon Ave
Staten Island, NY 10308-1419

Mailing address

453 Colon Ave
Staten Island, NY 10308-1419
Phone (718) 948-2121

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0711809Janet Shen MD PC453 Colon Avenue, Staten Island, NY 10308ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1568948461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 COLON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081419",
            "telephone_number": "718-948-2121",
            "fax_number": "718-967-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 COLON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081419",
            "telephone_number": "718-948-2121",
            "fax_number": "718-967-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET SHEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "SHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-948-2121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "2227641",
            "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 Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.