Caitlin Stetson Jordan Shaffer, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

272062-1 Issued in NY

Practice address

430 E 63Rd St
New York, NY 10065-7918

Phone

(301) 990-3190

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Caitlin Stetson Jordan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1740304591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E 63RD ST",
            "address_2": "APT 12F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657994",
            "telephone_number": "757-647-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E 63RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657918",
            "telephone_number": "301-990-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "CAITLIN",
        "middle_name": "STETSON JORDAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "272062-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "JORDAN",
            "middle_name": "STETSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonathan Shafer
• Meghan Shafer
• Stephen Shafer, MD
• Alyssa M Shaffer, CRNP
• Brian Carl Shaffer, M.D.
• Charles Wintour Shaffer, M.D.
• Lauren Shaffer, LCSW
• Rebecca F Shaffer, PT, DPT
• Zanaira Shafi, MS, FNP-BC
• Neeva Leila Shafiian

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.