Irina Shpak Medical P.C.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

214682-1 Issued in NY

Legal business name

IRINA SHPAK MEDICAL P.C.

Practice address

998 Old Country Rd
Suite 203
Plainview, NY 11803-4928

Phone

(631) 271-9151

Fax

(631) 271-9155

NPI assigned

Feb 27, 2012

Organization subpart

No

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

Authorized official

Name

Irina Shpak, M.D.

Title

Owner

Phone

(631) 271-9151

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1598039224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 OLD COUNTRY RD",
            "address_2": "SUITE 203",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034928",
            "telephone_number": "631-271-9151",
            "fax_number": "631-271-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 OLD COUNTRY RD",
            "address_2": "SUITE 203",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034928",
            "telephone_number": "631-271-9151",
            "fax_number": "631-271-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRINA SHPAK MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "SHPAK",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-271-9151",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "214682-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "214682-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Plainview, NY
• Providers in Plainview, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.