Individual provider Active NPI

Roberta F Shapiro, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New York, NY
National Provider Identifier
1730220443
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
179317 Issued in NY
Practice address
115 E 61St St
Suite 10a
New York, NY 10021-8183
Phone
(212) 888-4635
Fax
(212) 888-4637
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 179317 NY Primary

Addresses

Primary practice location

115 E 61St St
Suite 10a
New York, NY 10021-8183

Mailing address

115 E 61St St
Suite 10a
New York, NY 10021-8183
Phone (212) 888-4635

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 13, 2013 through Jul 13, 2027

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Nova Southeastern College of Osteo Medicine, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

115 E 61St St
10A
New York, NY 10065-8186

National Provider Directory

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

Networks

  • Healthfirst Medicare Network H9678

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730220443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 61ST ST",
            "address_2": "SUITE 10A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100218183",
            "telephone_number": "212-888-4635",
            "fax_number": "212-888-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 61ST ST",
            "address_2": "SUITE 10A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100218183",
            "telephone_number": "212-888-4635",
            "fax_number": "212-888-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "ROBERTA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "179317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.