Individual provider Active NPI

David Shipman, MD

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1629059753
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
226253 Issued in NY
Practice address
10 Union Square East
Bimc Dept of Pediatrics
New York, NY 10003
Phone
(212) 420-2496
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 226253 NY Primary

Addresses

Primary practice location

10 Union Square East
Bimc Dept of Pediatrics
New York, NY 10003

Mailing address

PO Box 95000-2436
Philadelphia, PA 19195-2436
Phone (212) 844-8326

Other identifiers 1

IdentifierTypeStateIssuer
02356976MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090331000001 NY Practitioner - Pediatric Medicine 0840357232 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based Current Accepting new patients
New York University CurrentSince Sep 1, 2016 Accepting new patients
SBH Physicians, PC Pediatrics Current Accepting new patients
SBH Physicians, PC Pediatrics CurrentSince May 29, 2019 Accepting new patients
New York University Pediatrics CurrentSince Sep 1, 2016 Accepting new patients
Fpa Hospital Based CurrentSince Aug 1, 2014 Accepting new patients
Fpa Hospital Based CurrentSince Aug 1, 2014 Accepting new patients
Arthur Avenue Pediatrics PC Pediatrics Past Accepting new patients
Bimc Faculty Practice Pediatrics Past Accepting new patients
Quarry Road Emergency Services P.C. Past Accepting new patients
St. Barnabas Hospital Past Accepting new patients

Locations

4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: dshipman18494@sbhny.direct-ci.net

Organizations & group practices 11

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1629059753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-2436",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191952436",
            "telephone_number": "212-844-8326",
            "fax_number": "212-844-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION SQUARE EAST",
            "address_2": "BIMC DEPT OF PEDIATRICS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-420-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "226253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02356976",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.