Active NPI
Charles Paul Shenker, MD
- Pulmonary Disease Physician
- Aventura, FL
National Provider Identifier
1861437188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME30420
- Practice address
- 21150 Biscayne Boulevard
Ste 208
Aventura, FL 33180 - Phone
- (305) 705-0501
- Fax
- (305) 705-0501
- NPI assigned
- Jun 19, 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME30420 | FL | Primary |
Addresses
Primary practice location
21150 Biscayne Boulevard
Ste 208
Aventura, FL 33180
Mailing address
21150 Biscayne Boulevard
Ste 208
Aventura, FL 33180
Phone (305) 705-0501
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30420 | FL | MD | Dentist |
| ME30420 | FL | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1861437188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21150 BISCAYNE BOULEVARD",
"address_2": "STE 208",
"city": "AVENTURA",
"state": "FL",
"postal_code": "33180",
"telephone_number": "305-705-0501",
"fax_number": "305-705-0502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21150 BISCAYNE BOULEVARD",
"address_2": "STE 208",
"city": "AVENTURA",
"state": "FL",
"postal_code": "33180",
"telephone_number": "305-705-0501",
"fax_number": "305-705-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENKER",
"first_name": "CHARLES",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME30420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.