Individual provider Active NPI

Daphna Shiffeldrim, MD

  • Child & Adolescent Psychiatry Physician
  • New York, NY
National Provider Identifier
1710299524
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
272657 Issued in NY
Practice address
30 E End Ave
Suite 7G
New York, NY 10028-7053
Phone
(929) 249-1580
NPI assigned
Jul 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 272657 NY Primary

Addresses

Primary practice location

30 E End Ave
Suite 7G
New York, NY 10028-7053

Mailing address

30 E End Ave
Suite 7G
New York, NY 10028-7053
Phone (929) 249-1580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
272657NYMDChild & Adolescent Psychiatry Physician

Interoperability endpoints

  • Direct secure messaging: dshiffeldrim682673@nychhc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1710299524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E END AVE",
            "address_2": "SUITE 7G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100287053",
            "telephone_number": "929-249-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E END AVE",
            "address_2": "SUITE 7G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100287053",
            "telephone_number": "929-249-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFFELDRIM",
        "first_name": "DAPHNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "272657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.