Active NPI
Berett Paige Shaps, M.D.
- Pediatrics Physician
- Smithtown, NY
National Provider Identifier
1710215215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 254837
- Practice address
- 300 E Main St
Smithtown, NY 11787-2900 - Phone
- (631) 979-6466
- Fax
- (631) 979-6475
- NPI assigned
- Nov 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 49318 | CT | |
| Pediatrics Physician | 208000000X | 254837 | NY | Primary |
Addresses
Primary practice location
300 E Main St
Smithtown, NY 11787-2900
Mailing address
300 E Main St Ste 5
Smithtown, NY 11787-2900
Phone (631) 979-6466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008033892 | Medicaid | CT |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49318 | CT | MD | Pediatrics Physician |
| 254837 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Childrens Health Physicians LLP | Current | Accepting new patients | |
| Boston Children'S Health Physicians, LLP | Pediatrics | Current | Accepting new patients |
Locations
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
300 E Main St
Ste 4
Smithtown, NY 11787
300 E Middle Country Rd
Smithtown, NY 11787
Phone (631) 265-3727
300 E Main St
Ste 5
Smithtown, NY 11787
Phone (631) 979-6466
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- berett.shaps.p1@direct.cwpw.nextgenshare.com
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
-
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1710215215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MAIN ST STE 5",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872900",
"telephone_number": "631-979-6466",
"fax_number": "631-979-6475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E MAIN ST",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872900",
"telephone_number": "631-979-6466",
"fax_number": "631-979-6475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPS",
"first_name": "BERETT",
"middle_name": "PAIGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-23",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "49318",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "254837",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008033892",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.