Individual provider Active NPI

Stuart Daniel Shanler, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1841811148
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
180782 Issued in NY
Practice address
145 E 15TH St Apt 5L
New York, NY 10003-3536
Phone
(845) 789-5665
NPI assigned
Apr 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME96641 FL
Dermatology Physician 207N00000X MD2005-0764 NM
MOHS-Micrographic Surgery Physician 207ND0101X ME96641 FL
MOHS-Micrographic Surgery Physician 207ND0101X 180782 NY
MOHS-Micrographic Surgery Physician 207ND0101X MD2005-0764 NM
Procedural Dermatology Physician 207NS0135X ME96641 FL
Procedural Dermatology Physician 207NS0135X MD2005-0764 NM
Procedural Dermatology Physician 207NS0135X 180782 NY
Dermatology Physician 207N00000X 180782 NY Primary

Addresses

Primary practice location

145 E 15TH St Apt 5L
New York, NY 10003-3536

Mailing address

145 E 15TH St Apt 5L
New York, NY 10003-3536
Phone (845) 789-5665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME96641FLMDDermatology Physician
MD2005-0764NMMDMOHS-Micrographic Surgery Physician
180782NYMDMOHS-Micrographic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1841811148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E 15TH ST APT 5L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033536",
            "telephone_number": "845-789-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E 15TH ST APT 5L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033536",
            "telephone_number": "845-789-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANLER",
        "first_name": "STUART",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-28",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME96641",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NM",
            "license": "MD2005-0764",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME96641",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "180782",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NM",
            "license": "MD2005-0764",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME96641",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NM",
            "license": "MD2005-0764",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "180782",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "180782",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 29, 2024; 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.