Organization Active NPI

Shannamd

  • Clinic/Center
  • New York, NY
National Provider Identifier
1609347145
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SHANNAMD
Practice address
332 E 67TH St Apt 14
New York, NY 10065-6265
Phone
(954) 415-5769
NPI assigned
Dec 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Dr. Shanna Levine, MDNPI 1720342736
Title
Owner/Physician
Phone
(954) 415-5769

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

332 E 67TH St Apt 14
New York, NY 10065-6265

Mailing address

332 E 67TH St Apt 14
New York, NY 10065-6265
Phone (954) 415-5769

Other practice location 1

333 E 34th St Ofc 1M
New York, NY 10016-5230
Phone (954) 415-5769

Other practice location 2

30 Central Park S Rm 7A
New York, NY 10019-1628
Phone (954) 415-5769

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1609347145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 E 67TH ST APT 14",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656265",
            "telephone_number": "954-415-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 E 67TH ST APT 14",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656265",
            "telephone_number": "954-415-5769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 E 34th St Ofc 1M",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100165230",
            "country_code": "US",
            "telephone_number": "954-415-5769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Central Park S Rm 7A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100191628",
            "country_code": "US",
            "telephone_number": "954-415-5769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHANNAMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "954-415-5769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 24, 2019; 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.