Active NPI
Edith Tennenbaum Shapiro, M.D.
- Geriatric Psychiatry Physician
- Englewood, NJ
National Provider Identifier
1588739148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 25MA02257400
- Practice address
- 200 Engle St
Suite 27
Englewood, NJ 07631-2440 - Phone
- (201) 871-3027
- Fax
- (201) 569-7264
- NPI assigned
- Nov 21, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 25MA02257400 | NJ | Primary |
Addresses
Primary practice location
200 Engle St
Suite 27
Englewood, NJ 07631-2440
Mailing address
277 S Broadway
Apt. E
Tarrytown, NY 10591-5334
Phone (914) 332-1755
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 229708 | Other | NJ | COMPSYCH |
| 0015271 | Other | NJ | GHI |
| 050643 | Other | NJ | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA02257400 | NJ | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul E Schneck MD PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- New York, NY
- NPI 1154582526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588739148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 S BROADWAY",
"address_2": "APT. E",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915334",
"telephone_number": "914-332-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ENGLE ST",
"address_2": "SUITE 27",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312440",
"telephone_number": "201-871-3027",
"fax_number": "201-569-7264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "EDITH",
"middle_name": "TENNENBAUM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NJ",
"license": "25MA02257400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "229708",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0015271",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "050643",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.