Individual provider Active NPI

Eric Shoenfeld, M.D.

  • Family Medicine Physician
  • Baldwin, NY
National Provider Identifier
1902984115
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
136339 Issued in NY
Practice address
927 Merrick Rd
Baldwin, NY 11510-3334
Phone
(516) 623-6095
Fax
(516) 623-6097
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 136339 NY Primary

Addresses

Primary practice location

927 Merrick Rd
Baldwin, NY 11510-3334

Mailing address

927 Merrick Rd
Baldwin, NY 11510-3334
Phone (516) 623-6095

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
I20041208000728 NY Practitioner - Family Practice 9335105634 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peconic Bay Primary Medical CareGroup PAC ID 7113817602, 72 clinicians

Practice addresses (Care Compare)

2280 Grand Ave
Suite 208
Baldwin, NY 11510-3110
Phone (516) 623-4800

34 Commerce Ave
Riverhead, NY 11901-3118
Phone (631) 727-1600

Hospital & facility affiliations

  • Mt. Sinai at Home Home health agency, Westbury, NY, CCN 337246
  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
136339NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Group of the Mount Sinai School of Medicine Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
Mount Sinai School of Medicine CurrentSince Feb 1, 2019 Accepting new patients
Central Suffolk Hosptial CurrentSince Aug 1, 2019 Accepting new patients
Mount Sinai School of Medicine Current Accepting new patients
South Nassau Communities Hospital Current Accepting new patients
Central Suffolk Hospital CurrentSince Aug 1, 2019 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Family Medicine Current Accepting new patients
Peconic Bay Primary Medical Care CurrentSince Mar 27, 2023 Accepting new patients
Mount Sinai School of Medicine Family Medicine CurrentSince Feb 1, 2019 Accepting new patients
Prohealth Care Associates, LLP Past Accepting new patients

Locations

2280 Grand Ave
Ste 208
Baldwin, NY 11510
Phone (516) 623-4800

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595

185 Merrick Rd
Lynbrook, NY 11563
Phone (516) 593-3535

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

34 Commerce Ave
Riverhead, NY 11901
Phone (631) 591-3000

Networks

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

Interoperability endpoints

  • Direct secure messaging: ericshoenfeld@snch.allscriptsdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1902984115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 MERRICK RD",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103334",
            "telephone_number": "516-623-6095",
            "fax_number": "516-623-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 MERRICK RD",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103334",
            "telephone_number": "516-623-6095",
            "fax_number": "516-623-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOENFELD",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "136339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

Verify at the official NPI Registry.