Active NPI
Stuart Daniel Shanler, MD
- Dermatology Physician
- New York, NY
National Provider Identifier
1841811148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 180782
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME96641 | FL | MD | Dermatology Physician |
| MD2005-0764 | NM | MD | MOHS-Micrographic Surgery Physician |
| 180782 | NY | MD | MOHS-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.