Marc Bradley Shaffren, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

000328 Issued in NY

Practice address

2635 Nostrand Ave
C/O Richard Schwimmer MD
Brooklyn, NY 11210-4641

Phone

(718) 252-3622

Fax

(718) 253-2513

NPI assigned

Sep 19, 2007

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

Physician Assistant

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1700072089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 NOSTRAND AVE",
            "address_2": "C/O RICHARD SCHWIMMER MD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104641",
            "telephone_number": "718-252-3622",
            "fax_number": "718-253-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 NOSTRAND AVE",
            "address_2": "C/O RICHARD SCHWIMMER MD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104641",
            "telephone_number": "718-252-3622",
            "fax_number": "718-253-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFREN",
        "first_name": "MARC",
        "middle_name": "BRADLEY",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "000328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Shaffer
• Liba Shaffer, MD
• Miriam Shaffer
• Shayna Shaffer
• Leah Shaffren, PA
• Shoshana Shaffren, MPT
• Majid Nawaz Shafi, PHARMACIST, PHARMD
• Muhammad A Shafi, RPH
• Samia Shafi, LCSW
• Sarah Shafik

• Medical Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.