Individual provider Active NPI

Shay Erisson, M.D

  • Obstetrics & Gynecology Physician
  • Newton, MA
National Provider Identifier
1700141793
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
276278 Issued in MA
Practice address
2000 Washington St Ste 768
Newton, MA 02462-1645
Phone
(617) 332-2345
Fax
(617) 332-2345
NPI assigned
Jul 6, 2012
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 276278 MA Primary

Addresses

Primary practice location

2000 Washington St Ste 768
Newton, MA 02462-1645

Mailing address

2000 Washington St Ste 768
Newton, MA 02462-1645
Phone (617) 332-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161027000809 NY Practitioner - Obstetrics/Gynecology 0042598914 Reassigns benefits to 1 organization
I20190405001853 MA Practitioner - Obstetrics/Gynecology 0042598914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton-Wellesley Obstetrics and Gynecology PCGroup PAC ID 1759483191, 7 clinicians

Practice addresses (Care Compare)

2000 Washington St
Suite 768
Newton, MA 02462-1645
Phone (617) 332-2345

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Obstetrics & Gynecology CurrentSince Nov 26, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 15, 2019 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 15, 2019 Accepting new patients
Newton-Wellesley Obstetrics & Gynecology PC Obstetrics & Gynecology CurrentSince Nov 19, 2025 Accepting new patients
Newton-Wellesley Hospital Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

2000 Washington St
Ste 768
Newton Lower Falls, MA 02462
Phone (617) 332-2345

63 Pleasant St
Watertown, MA 02472
Phone (617) 213-1335

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

300 Community Dr
Manhasset, NY 11030

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

755 N Broadway
Ste 560
Sleepy Hollow, NY 10591
Phone (914) 366-5400

777 N Broadway
Ste 305
Sleepy Hollow, NY 10591
Phone (914) 366-6120

Interoperability endpoints

  • Direct secure messaging: erisson.shay.nwobgyn@direct.partners.masshiway.net
  • Direct secure messaging: shayerisson@nslijmedgr.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1700141793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST STE 768",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621645",
            "telephone_number": "617-332-2345",
            "fax_number": "617-332-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST STE 768",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621645",
            "telephone_number": "617-332-2345",
            "fax_number": "617-332-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERISSON",
        "first_name": "SHAY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "276278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.