Individual provider Active NPI

Harry S Shapiro, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Brooklyn, NY
National Provider Identifier
1891749636
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
118152 Issued in NY
Practice address
130 Brighton Beach Ave
Brooklyn, NY 11235-8002
Phone
(718) 946-7557
Fax
(718) 946-9680
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 118152 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 118152 NY Primary

Addresses

Primary practice location

130 Brighton Beach Ave
Brooklyn, NY 11235-8002

Mailing address

PO Box 6540
Church Street Station
New York, NY 10249-6540
Phone (718) 946-7557

Other identifiers 1

IdentifierTypeStateIssuer
00248077MedicaidNY

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
I20080228000616 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 6305920356 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
118152NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alan Goldman MD Steven C Tawil MD PC Internal Medicine CurrentSince Jan 1, 2008 Accepting new patients

Locations

130 Brighton Beach Ave
Brooklyn, NY 11235
Phone (718) 946-7557

Organizations & group practices 1

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1891749636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6540",
            "address_2": "CHURCH STREET STATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102496540",
            "telephone_number": "718-946-7557",
            "fax_number": "718-946-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BRIGHTON BEACH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358002",
            "telephone_number": "718-946-7557",
            "fax_number": "718-946-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "HARRY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "118152",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "118152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00248077",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.