Active NPI
Stanley Gordon Shapiro, DO
- Family Medicine Physician
- Roslyn, NY
National Provider Identifier
1598815771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 098384
- Practice address
- 103 Firestone Circle
Roslyn, NY 11576 - Phone
- (516) 297-2988
- Fax
- (516) 365-2750
- NPI assigned
- Jan 11, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 098384 | NY | Primary |
Addresses
Primary practice location
103 Firestone Circle
Roslyn, NY 11576
Mailing address
103 Firestone Circle
Roslyn, NY 11576
Phone (516) 297-2988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241438 | Medicaid | NY |
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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 098384 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598815771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 FIRESTONE CIRCLE",
"city": "ROSLYN",
"state": "NY",
"postal_code": "11576",
"telephone_number": "516-297-2988",
"fax_number": "516-365-2750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 FIRESTONE CIRCLE",
"city": "ROSLYN",
"state": "NY",
"postal_code": "11576",
"telephone_number": "516-297-2988",
"fax_number": "516-365-2750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "STANLEY",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "098384",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "241438",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roslyn, NY
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.