Lawrence W Shields, M.D.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

1005669 Issued in NY

Practice address

736 E Park Ave
Long Beach, NY 11561-2605

Phone

(516) 889-1424

Fax

(516) 432-3151

NPI assigned

Sep 12, 2007

Last updated

Sep 12, 2007By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1699960617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612605",
            "telephone_number": "516-889-1424",
            "fax_number": "516-432-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612605",
            "telephone_number": "516-889-1424",
            "fax_number": "516-432-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "LAWRENCE",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "1005669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avivit Shalom
• Glen Shanock, DDS
• Syeda Sharieff
• Jacqueline Sharkey
• Alyssa Anne Sharma, DPT
• Jared Muskin Shiff, PSY.D.
• Chelsea Shoshana, LMHC
• Alana Siegel
• Bruce Todd Silberberg, DC
• Amanda Jo Silva, RPH

• Neuromusculoskeletal Medicine & OMM Physician in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Neuromusculoskeletal Medicine & OMM Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.