San Cheng Shih, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

195918 Issued in NY

Practice address

13605 Sanford Ave
1M
Flushing, NY 11355-3136

Phone

(718) 321-3996

Fax

(718) 321-0071

NPI assigned

Apr 18, 2007

Last updated

Jul 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Networks

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

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1649496498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13605 SANFORD AVE",
            "address_2": "1M",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553136",
            "telephone_number": "718-321-3996",
            "fax_number": "718-321-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13605 SANFORD AVE",
            "address_2": "1M",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553136",
            "telephone_number": "718-321-3996",
            "fax_number": "718-321-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIH",
        "first_name": "SAN",
        "middle_name": "CHENG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "195918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01557648",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miriam Shields, PSYD
• Rick Shields, CDN PHD
• Jennifer Kathleen Shih
• Juien Shih
• Pei-Yu Shih
• Christine Shim, LCSW
• David Shim, D.M.D
• Israel Shimonov, RPA-C
• Shimunlevy Image Corp
• Ilana Shimunov, DDS, MPH

• Pediatric Adolescent Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; 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.