Active NPI
Stanley Shapiro, M.D.
- Psychiatry Physician
- Great Neck, NY
National Provider Identifier
1770673022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 90555
- Practice address
- 5 Bond St
Great Neck, NY 11021-2420 - Phone
- (516) 466-4044
- NPI assigned
- Oct 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 90555 | NY | Primary |
Addresses
Primary practice location
5 Bond St
Great Neck, NY 11021-2420
Mailing address
5 Bond St
Great Neck, NY 11021-2420
Phone (516) 466-4044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 1, 2012 through Sep 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090555 | NY | MD | Clinical Social Worker |
| 90555 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770673022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 BOND ST",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110212420",
"telephone_number": "516-466-4044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 BOND ST",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110212420",
"telephone_number": "516-466-4044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "STANLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "90555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.