Active NPI
Jason Moshe B Shuker, MD
- Family Medicine Physician
- White Plains, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 236383
- Practice address
- 210 Westchester Ave
White Plains, NY 10604-2901 - Phone
- (914) 681-3000
- Fax
- (914) 682-6403
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 236383 | NY | Primary |
Addresses
Primary practice location
210 Westchester Ave
White Plains, NY 10604-2901
Mailing address
210 Westchester Ave
3Rd FL
White Plains, NY 10604-2901
Phone (914) 681-3146
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133884168 | Other | NY | HIP |
| 133884168 | Other | NY | HORIZON OF NY |
| 133884168 | Other | NY | BEECH STREET |
| 133884168 | Other | NY | EMPIRE STATE PLAN (NYS) |
| 02677609 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Boston University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Theall Rd
Rye, NY 10580-1404
Phone (914) 848-8888
1084 N Broadway
Yonkers, NY 10701-1107
Phone (914) 848-8640
171 Huguenot St
New Rochelle, NY 10801-7760
Phone (914) 607-5800
210 Westchester Ave
White Plains, NY 10604-2901
Phone (914) 682-0700
644 W Putnam Ave
Greenwich, CT 06830-6088
Phone (203) 622-0303
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Westchester Medical Group, P.C. | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| The Westchester Medical Group PC | Current | Accepting new patients |
Locations
644 W Putnam Ave
Greenwich, CT 06830
Phone (203) 210-2880
5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330
2248 31st St
Astoria, NY 11105
Phone (718) 267-1333
3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345
336 E 86th St
New York, NY 10028
Phone (212) 772-3627
108 S Ridge St
Rye Brook, NY 10573
Phone (914) 219-0187
210 Westchester Ave
Fl 3
White Plains, NY 10604
Phone (914) 682-6532
210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- jshuker@hiemail.healtheconnections.org
- jason.shuker.1@21260.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Rye Brook, NY
- NPI 1881653822
CT
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1801277629
-
- Urgent Care Clinic/Center
- Farmingville, NY
- NPI 1073001343
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1740913763
-
- Durable Medical Equipment & Medical Supplies
- Greenwich, CT
- NPI 1790560878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381795200000",
"number": "1881667749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 WESTCHESTER AVE",
"address_2": "3RD FL",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106042901",
"telephone_number": "914-681-3146",
"fax_number": "914-682-6403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 WESTCHESTER AVE",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106042901",
"telephone_number": "914-681-3000",
"fax_number": "914-682-6403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUKER",
"first_name": "JASON MOSHE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2013-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "236383",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "133884168",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON OF NY",
"identifier": "133884168",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET",
"identifier": "133884168",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE STATE PLAN (NYS)",
"identifier": "133884168",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02677609",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.