Active NPI
Janet Shen MD PC
- Pediatrics Physician
- Staten Island, NY
National Provider Identifier
1568948461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2227641
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0711809 | Janet Shen MD PC | Compliance | Jul 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Staten Island, NY
- NPI 1174109839
-
- Pediatrics Physician
- Staten Island, NY
- NPI 1851787683
-
- Pediatrics Physician
- Staten Island, NY
- NPI 1477639029
-
- Pediatrics Physician
- Staten Island, NY
- NPI 1164508719
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.