Active NPI
Larry Judah Shemen, MD
- Otolaryngology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 158776
- Practice address
- 233 E 69TH St
Suite 1D
New York, NY 10021-5414 - Phone
- (212) 472-8882
- Fax
- (212) 472-3077
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 158776 | NY | Primary |
Addresses
Primary practice location
233 E 69TH St
Suite 1D
New York, NY 10021-5414
Mailing address
233 East 69TH Street
Suite 1D
New York, NY 10021
Phone (212) 472-8882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00838179 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
233 E 69TH St
Suite 1D
New York, NY 10021-5449
Phone (212) 472-8882
Hospital & facility affiliations
- New York-Presbyterian/Queens
- Lenox Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.71 of 100
- Quality
- 79.34
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larry Judah Shemen, M.D., P.C. | Current | Accepting new patients |
Locations
10721 Queens Blvd
Ste 3
Forest Hills, NY 11375
Phone (718) 268-7400
10721 Queens Blvd
Ste 3A
Forest Hills, NY 11375
Phone (718) 461-6161
233 E 69th St
Ste 1D
New York, NY 10021
Phone (212) 472-8882
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- ljs9005@direct.nyp.org
- lshemen67577@northwell.direct-ci.com
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.
-
- Specialist
- New York, NY
- NPI 1285849505
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1477616571
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1952347205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369785600000",
"number": "1699878736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 EAST 69TH STREET",
"address_2": "SUITE 1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-472-8882",
"fax_number": "212-472-3077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 E 69TH ST",
"address_2": "SUITE 1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215414",
"telephone_number": "212-472-8882",
"fax_number": "212-472-3077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEMEN",
"first_name": "LARRY",
"middle_name": "JUDAH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2013-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "158776",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00838179",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.