Active NPI
Shelleye-Anne Bailey, M.D.
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1922077122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 233899
- Practice address
- 451 Clarkson Ave
Pediatric Clinics
Brooklyn, NY 11203-2057 - Phone
- (718) 245-3660
- NPI assigned
- Mar 17, 2006
- Last updated
- Dec 11, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 233899 | NY | Primary |
Addresses
Primary practice location
451 Clarkson Ave
Pediatric Clinics
Brooklyn, NY 11203-2057
Mailing address
28 Cambridge PL
2ND FL
Brooklyn, NY 11238-1908
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140825000898 | NY | Order and Referring Only - Pediatric Medicine | 2567420193 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Past | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- sbailey1050713@nychhc.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kings County Hospital Center
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1043224355
-
dba Jacobi Medical Center
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449792000000",
"number": "1922077122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 CAMBRIDGE PL",
"address_2": "2ND FL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112381908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 CLARKSON AVE",
"address_2": "PEDIATRIC CLINICS",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032057",
"telephone_number": "718-245-3660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "SHELLEYE-ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2015-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "233899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.