Individual provider Active NPI

Charles Andrew Shapiro, M.D.

  • Allergy Physician
  • Bayside, NY
National Provider Identifier
1881600948
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
0187008 Issued in NY
Practice address
202-28 45TH Avenue
Bayside, NY 11361-2540
Phone
(718) 224-7600
Fax
(718) 224-0593
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 0187008 NY Primary

Addresses

Primary practice location

202-28 45TH Avenue
Bayside, NY 11361-2540

Mailing address

202-28 45TH Avenue
Bayside, NY 11361-2540
Phone (718) 224-7600

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
I20050318000470 NY Practitioner - Allergy/Immunology 1951356377 Reassigns benefits to 1 organization
Practice locations: Bayside, NY; Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Perry Ave Family Medical Center IncGroup PAC ID 0547365363, 28 clinicians

Practice addresses (Care Compare)

202 28
Bayside, NY 11361-2540
Phone (718) 224-7600

3071 Perry Ave
Bronx, NY 10467-4111
Phone (718) 231-6700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0187008NYMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Perry Ave Family Medical Center Inc Allergy CurrentSince Jan 26, 2026 Accepting new patients
Pension Committee Joint Industry Board Past Accepting new patients

Locations

3071 Perry Ave
Bronx, NY 10467
Phone (718) 231-6700

Networks

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

Interoperability endpoints

  • Direct secure messaging: cshapiro14417@direct.medisys.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1881600948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202-28 45TH AVENUE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612540",
            "telephone_number": "718-224-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202-28 45TH AVENUE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612540",
            "telephone_number": "718-224-7600",
            "fax_number": "718-224-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "CHARLES",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "0187008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.