Active NPI
Eyal Shemesh, M.D.
- Developmental - Behavioral Pediatrics Physician
- New York, NY
National Provider Identifier
1710064621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- 226592
- Practice address
- Mount Sinai Medical Center, 1 Gustave L Levy Place
Box 1230
New York, NY 10029 - Phone
- (212) 659-9143
- NPI assigned
- Nov 1, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 226592 | NY | |
| Pediatrics Physician | 208000000X | 226592 | NY | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 226592 | NY | Primary |
Addresses
Primary practice location
Mount Sinai Medical Center, 1 Gustave L Levy Place
Box 1230
New York, NY 10029
Mailing address
505 E 79TH St
#17B
New York, NY 10021-0709
Phone (212) 659-9143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226592 | NY | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364256000000",
"number": "1710064621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 E 79TH ST",
"address_2": "#17B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100210709",
"telephone_number": "212-659-9143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MOUNT SINAI MEDICAL CENTER, 1 GUSTAVE L LEVY PLACE",
"address_2": "BOX 1230",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-659-9143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEMESH",
"first_name": "EYAL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2013-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "226592",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "226592",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "NY",
"license": "226592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"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 Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.