Individual provider Active NPI

Adam Marc Shapiro, M.D.

  • Facial Plastic Surgery Physician
  • St Thomas, VI
National Provider Identifier
1780688606
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
1208 Issued in VI
Practice address
9149 Estate Thomas
Ste 308
St Thomas, VI 00802-2615
Phone
(340) 774-8881
Fax
(340) 776-9807
NPI assigned
Jun 9, 2005
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 1208 VI Primary

Addresses

Primary practice location

9149 Estate Thomas
Ste 308
St Thomas, VI 00802-2615

Mailing address

9149 Estate Thomas Ste 308
St Thomas, VI 00802-3132
Phone (340) 774-8881

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200707002161 NY Practitioner - Sleep MedicinePractitioner - Otolaryngology 3577452713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan C. Stern M.D.P.C CurrentSince Jun 1, 2020 Accepting new patients
Jordan C. Stern M.D.P.C. CurrentSince Jun 1, 2020 Accepting new patients
Paradise Surgical, LLC Past Accepting new patients

Locations

169 Madison Ave
Ste 15025
New York, NY 10016

245 5th Ave
Fl 3
New York, NY 10016
Phone (212) 302-4399

65 Broadway
Ste 901
New York, NY 10006
Phone (212) 979-4200

Interoperability endpoints

  • Direct secure messaging: adamshapiro@vient.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1780688606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9149 ESTATE THOMAS STE 308",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008023132",
            "telephone_number": "340-774-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9149 ESTATE THOMAS",
            "address_2": "STE 308",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022615",
            "telephone_number": "340-774-8881",
            "fax_number": "340-776-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "ADAM",
        "middle_name": "MARC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "VI",
            "license": "1208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

Verify at the official NPI Registry.