Individual provider Active NPI

Matthew Shave, D.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1598880668
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011181-1 Issued in NY
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

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
320138214OtherNYTAX 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

LicenseStateTypeSpecialty
X011181-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Station Physical Therapy and Chiropractic PLLC CurrentSince Jan 21, 2024 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.

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.

Verify at the official NPI Registry.