NPIMap

Individual provider Active NPI

Lawrence Shapiro, P.T

  • Specialist
  • New York, NY
National Provider Identifier
1750403697
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
005370 Issued in NY
Practice address
520 W 218TH St
Office
New York, NY 10034-1020
Phone
(212) 304-1755
Fax
(212) 304-4308
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 005370 NY Primary

Addresses

Primary practice location

520 W 218TH St
Office
New York, NY 10034-1020

Mailing address

520 W 218TH St
Office
New York, NY 10034-1020
Phone (212) 304-1755

Other identifiers 5

IdentifierTypeStateIssuer
ANC1519OtherNYOXFORD PROVIDER ID
133172690OtherNYTAX IDENTIFICATION NUMBER
20100POtherNYHIP PROVIDER NUMBER
6603997OtherNYGHI PROVIDER NUMBER
668349OtherNYAETNA ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050725000760 NY Practitioner - Physical Therapist in Private Practice 6002843794 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005370NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Shapiro P.T. CurrentSince Jan 1, 1990 Accepting new patients
Lawrence Shapiro PT P.C. Current Accepting new patients
Ny Neurological Consultant, PC PastSince Sep 15, 2021 Accepting new patients
Premium Laser Ophthalmology LLC PastSince Sep 15, 2021 Accepting new patients

Locations

520 W 218th St
Ofc
New York, NY 10034
Phone (212) 304-1755

520 W 218th St
New York, NY 10034
Phone (212) 304-1755

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_premiumlaseroph
  • FHIR API: https://fhir4.healow.com/fhir/r4/FEDJAA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1750403697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W 218TH ST",
            "address_2": "OFFICE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341020",
            "telephone_number": "212-304-1755",
            "fax_number": "212-304-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W 218TH ST",
            "address_2": "OFFICE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341020",
            "telephone_number": "212-304-1755",
            "fax_number": "212-304-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "005370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER ID",
            "identifier": "ANC1519",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "133172690",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP PROVIDER NUMBER",
            "identifier": "20100P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER NUMBER",
            "identifier": "6603997",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID NUMBER",
            "identifier": "668349",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.