Mark Shif, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

201591 Issued in NY

Practice address

3900 Shore Pkwy
Brooklyn, NY 11235-1130

Phone

(718) 646-2400

NPI assigned

Sep 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Comprehensive Psychiatric Services, P.C.

  • Specialist
  • Brooklyn, NY
  • NPI 1144383258
  Medicare reassignment NPD Authorized official
• Abc Pediatrics & Medical PC

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1609169812
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1770680464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 OCEANA DR E",
            "address_2": "SUITE PH2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356693",
            "telephone_number": "718-743-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 SHORE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351130",
            "telephone_number": "718-646-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIF",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "201591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01702950",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shiel Medical Laboratory, Inc
• John Martin Shields, M.D.
• Khadine Kenesha Shields, RN
• Patrice Shields, LMSW
• Susan Shields, O.D
• Rosana Shifan, PHARM. D
• Anastassia Shifchik
• Zhanna Shifchik, MSN
• Michelle Shifer
• Pearl Shifer

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.