Yevgeniya Shurp, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

207317 Issued in NY

Practice address

4 Morrisey Drive
Putnam Valley, NY 10579

Phone

(845) 528-5222

Fax

(845) 528-8589

NPI assigned

Apr 25, 2006

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yevgeniya.shurp@direct.hvhc.org
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Boston Children'S Health Physicians, LLP

  • Pediatrics Physician
  • Hawthorne, NY
  • NPI 1467454967
  Medicare reassignment NPD
• Boston Childrens Health Physicians LLP

  • Clinical Medical Laboratory
  • Sleepy Hollow, NY
  • NPI 1588651079
  NPD
• Putnam Valley Pediatrics, P.C.

  • Pediatrics Physician
  • Putnam Valley, NY
  • NPI 1194722868
  NPD (past)
• Tribeca Pediatrics, PLLC

  • Pediatric Adolescent Medicine Physician
  • New York, NY
  • NPI 1588635171
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1669438941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 N BEDFORD RD STE 6",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105491149",
            "telephone_number": "212-226-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MORRISEY DRIVE",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "10579",
            "telephone_number": "845-528-5222",
            "fax_number": "845-528-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURP",
        "first_name": "YEVGENIYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "207317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01809961",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryann C Russo, P.T.
• Elizabeth Sanchirico-Ulrich
• Debra Ann Sarich, B.S.
• Anne E Schechter, PT
• Theresa Shreders
• David Allen Silverman, MFT
• Paula Sims, M.D.
• Cindy Singh, LCSW
• Edyta Skladzinska-Reyher, M.D.
• Megan Smithuysen, LAT, ATC

• Pediatrics Physician in Putnam Valley, NY
• Providers in Putnam Valley, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.