Individual provider Active NPI

Shirin Bajaj

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1710379094
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
304947 Issued in NY
Practice address
1275 York Ave
New York, NY 10065-6007
Phone
(212) 639-2000
NPI assigned
Feb 24, 2015
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 304947 NY Primary
MOHS-Micrographic Surgery Physician 207ND0101X 304947 NY
Procedural Dermatology Physician 207NS0135X 304947 NY

Addresses

Primary practice location

1275 York Ave
New York, NY 10065-6007

Mailing address

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

Other practice location 1

317 E 34th St Rm 11R
New York, NY 10016-4936
Phone (212) 686-7306

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200618001672 NY Practitioner - DermatologyPractitioner - Other (Physician) 4284056391 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Northwestern University Feinberg Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Dermatology GroupGroup PAC ID 1557250818, 19 clinicians
Midtown Dermatology Services PCGroup PAC ID 7618263401, 10 clinicians

Practice addresses (Care Compare)

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

317 E 34TH St
FL 11
New York, NY 10016-4996
Phone 2126867306225

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.77 of 100Reported as group
Quality
84.67
Improvement activities
40
Cost
66.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision34
Removal of skin lesions19
Removal of skin cancer207
Removal or shaving of skin growth1-10
Skin biopsy87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
304947NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Dermatology Group Dermatology CurrentSince Sep 3, 2023 Accepting new patients
Murray Hill Dermatology Associates P C Dermatology CurrentSince Jun 8, 2020 Accepting new patients
Midtown Dermatology Services P.C. Dermatology CurrentSince Apr 28, 2025 Accepting new patients
Orbuch, Brand Dermatology Associates LLP Dermatology CurrentSince Jun 8, 2020 Accepting new patients

Locations

4277 Hempstead Tpke
Ste 206
Bethpage, NY 11714
Phone (516) 731-6505

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

317 E 34th St
Fl 11
New York, NY 10016
Phone (212) 532-0058

317 E 34th St
Rm 11R
New York, NY 10016
Phone (212) 686-7306

345 E 37th St
Rm 307
New York, NY 10016
Phone (212) 532-5355

633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sbajaj1@laserskinsurgery.emadirect.md
  • Direct secure messaging: sbajaj35947@mskcc.direct-ci.com

Organizations & group practices 4

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 5

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": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1710379094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "212-639-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "212-639-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 E 34th St Rm 11R",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100164936",
            "country_code": "US",
            "telephone_number": "212-686-7306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAJAJ",
        "first_name": "SHIRIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "304947",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "304947",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "304947",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.