Active NPI
Shirley M Paul, RDN, MPH,CDN
- Registered Dietitian
- Yonkers, NY
National Provider Identifier
1912558115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 008198
- Practice address
- 24 Boxwood Rd
Yonkers, NY 10710-1602 - Phone
- (914) 473-8223
- NPI assigned
- Sep 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 008198 | NY | Primary |
Addresses
Primary practice location
24 Boxwood Rd
Yonkers, NY 10710-1602
Mailing address
24 Boxwood Rd
Yonkers, NY 10710-1602
Phone (914) 473-8223
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shpau@montefiore.org | Montefiore Mount Vernon Hospital |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008198 | NY | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1912558115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 BOXWOOD RD",
"city": "YONKERS",
"state": "NY",
"postal_code": "107101602",
"telephone_number": "914-473-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 BOXWOOD RD",
"city": "YONKERS",
"state": "NY",
"postal_code": "107101602",
"telephone_number": "914-473-8223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "SHIRLEY",
"middle_name": "M",
"credential": "RDN, MPH,CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-28",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "008198",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shpau@montefiore.org",
"affiliation": "Y",
"affiliationName": "Montefiore Mount Vernon Hospital",
"address_1": "100 Corporate Dr",
"address_2": "Provider Information",
"city": "Yonkers",
"state": "NY",
"country_code": "US",
"postal_code": "107016807",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.