Individual provider Active NPI

Alla Yulie Shapiro, MD

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1679680102
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
248983 Issued in NY
Practice address
1009 Brighton Beach Ave Ste 2
Brooklyn, NY 11235-5621
Phone
(718) 975-8500
Fax
(718) 975-8502
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 248983 NY Primary

Addresses

Primary practice location

1009 Brighton Beach Ave Ste 2
Brooklyn, NY 11235-5621

Mailing address

130 Oceana Drive West
Apt 2G
Brooklyn, NY 11235
Phone (718) 339-5992

Other practice location 1

606 Winthrop St
G Bldg
Brooklyn, NY 11203
Phone (718) 245-2253

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
I20050226000038 NY Practitioner - Psychiatry 7416900782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Community Health Initiatives, Inc.Group PAC ID 6709185408, 23 clinicians

Practice addresses (Care Compare)

1419 Mermaid Ave
Brooklyn, NY 11224-2615
Phone (718) 210-3110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
248983NYMDPsychiatry Physician

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1679680102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 OCEANA DRIVE WEST",
            "address_2": "APT 2G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-339-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 BRIGHTON BEACH AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355621",
            "telephone_number": "718-975-8500",
            "fax_number": "718-975-8502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Winthrop St",
            "address_2": "G Bldg",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11203",
            "country_code": "US",
            "telephone_number": "718-245-2253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "ALLA",
        "middle_name": "YULIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "248983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.