Active NPI
Matthew Shave, D.C.
- Chiropractor
- New York, NY
National Provider Identifier
1598880668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X011181-1
- Practice address
- 469 Fashion Ave FL 6
New York, NY 10018-7605 - Phone
- (212) 502-1803
- NPI assigned
- Mar 20, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X011181-1 | NY | Primary |
Addresses
Primary practice location
469 Fashion Ave FL 6
New York, NY 10018-7605
Mailing address
469 Fashion Ave FL 6
New York, NY 10018-7605
Phone (212) 502-1803
Other practice location 1
94 Main Street
Suite E
Hilton Head, SC 29926
Phone (843) 816-7785
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320138214 | Other | NY | TAX IDENTIFICATION NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X011181-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penn Station Physical Therapy and Chiropractic PLLC | Current | Accepting new patients |
Locations
469 Fashion Ave
Fl 6
New York, NY 10018
Phone (212) 502-1803
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1831950518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1598880668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "469 FASHION AVE FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100187605",
"telephone_number": "212-502-1803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "469 FASHION AVE FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100187605",
"telephone_number": "212-502-1803"
}
],
"practiceLocations": [
{
"address_1": "94 Main Street",
"address_2": "Suite E",
"address_purpose": "LOCATION",
"city": "Hilton Head",
"state": "SC",
"postal_code": "29926",
"country_code": "US",
"telephone_number": "843-816-7785",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAVE",
"first_name": "MATTHEW",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X011181-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "320138214",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.