Larisa Shpitalnik, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

252168-1 Issued in NY

Practice address

3544 Jerome Ave
Bronx, NY 10467

Phone

(718) 920-5896

NPI assigned

Jul 25, 2008

Last updated

Dec 12, 2011By the provider in NPPES

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

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

Specialty

Family Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nightwatch Medicine PLLCGroup PAC ID 4880051366, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

19.3 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

64.34

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: larisa.shpitalnik@direct.hobokenumc.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nightwatch Medicine PLLC

  • Internal Medicine Physician
  • Dix Hills, NY
  • NPI 1184321739
  Medicare reassignment Care Compare group NPD
• Lwhmedical PC

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1184968232
  Medicare reassignment Authorized official
• Humc Opco LLC

  dba Hoboken University Hospital

  • General Acute Care Hospital
  • Hoboken, NJ
  • NPI 1043475668
  NPD

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1689839979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3544 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "201-418-3100",
            "fax_number": "201-418-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3544 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-920-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHPITALNIK",
        "first_name": "LARISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "252168-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory Shoshany, MD
• Sadiq Temitope Shotomiwa, BSN
• Keenan W Shoulders, LMSW
• Melissa Jane Shoupe, LCSW
• Olsjon Shperdheja
• Debora Davidovna Shpolyansky, MD
• Shree Ganesh Pharmacy (Span Am Pharmacy)
• Shree Medhava Drug Inc (Well-Care Pharmacy)
• Shree Rushin RX Inc (Congress Pharmacy)
• Shreehari LLC (Morris Pharmacy)

• Family Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.