Individual provider Active NPI

Norbert Shtaynberg, D.O.

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1871748103
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
253279 Issued in NY
Practice address
470 Seaview Ave
Staten Island, NY 10305-3401
Phone
(718) 987-5940
Fax
(718) 667-9708
NPI assigned
Dec 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 253279 NY
Internal Medicine Physician 207R00000X 253279 NY Primary

Addresses

Primary practice location

470 Seaview Ave
Staten Island, NY 10305-3401

Mailing address

97 New Dorp LN
Suite a
Staten Island, NY 10306-2364
Phone (718) 876-6220

Other practice location 1

960 40th St
Brooklyn, NY 11219-1518
Phone (718) 369-1444

Other identifiers 1

IdentifierTypeStateIssuer
03328356MedicaidNY

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
I20110613000236 NY Practitioner - Nephrology 7315124781 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Nephrology Services PCGroup PAC ID 8729977202, 13 clinicians
American Access Care Physician PLLCGroup PAC ID 8224929997, 18 clinicians

Practice addresses (Care Compare)

375 Seguine Ave
Staten Island, NY 10309-3932
Phone (718) 226-2000

470 Seaview Ave
Staten Island, NY 10305-3401
Phone (718) 987-5942

960 40TH St
Brooklyn, NY 11219-1518
Phone (718) 369-1444

Hospital & facility affiliations

  • Island Rehabilitative Services - Seaview Dialysis Dialysis facility, Staten Island, NY, CCN 332511
  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160

Merit-based Incentive Payment System (MIPS)

Final score
92.95 of 100Reported as group
Quality
76.17
Promoting interoperability
99
Improvement activities
40
Cost
67.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
253279NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Access Care Physician PLLC CurrentSince Nov 1, 2011 Accepting new patients
Renal Focus ASC LLC CurrentSince Dec 12, 2021 Accepting new patients
Interfaith Professional Physician Services, P.C. Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients

Locations

3250 Westchester Ave
Rm 102
Bronx, NY 10461
Phone (718) 518-9000

2060 Utica Ave
Brooklyn, NY 11234
Phone (718) 676-5309

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

1250 67th St
Brooklyn, NY 11219
Phone (718) 232-2322

960 40th St
Brooklyn, NY 11219
Phone (718) 369-1444

100 Hospital Rd
Ste 203
East Patchogue, NY 11772
Phone (631) 475-6900

11919 Graham Ct
Flushing, NY 11354
Phone (718) 552-1000

900 Northern Blvd
Ste 140
Great Neck, NY 11021
Phone (516) 466-6760

403 E 91st St
Fl 2
New York, NY 10128
Phone (212) 427-9895

27005 76th Ave
North New Hyde Pk, NY 11040

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: norbert.shtaynberg.p24@direct.aac.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1871748103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 NEW DORP LN",
            "address_2": "SUITE A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062364",
            "telephone_number": "718-876-6220",
            "fax_number": "718-876-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053401",
            "telephone_number": "718-987-5940",
            "fax_number": "718-667-9708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 40th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112191518",
            "country_code": "US",
            "telephone_number": "718-369-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHTAYNBERG",
        "first_name": "NORBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-01",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "253279",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "253279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03328356",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.