Active NPI
Anthony Shimkin, CRPA
- Peer Specialist
- Harrison, NY
National Provider Identifier
1952945198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- CRPA-P-3866
- Practice address
- 275 North St.
Oars
Harrison, NY 10528 - Phone
- (914) 925-5261
- NPI assigned
- Oct 31, 2019
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CRPA-P-3866 | NY | Primary |
Addresses
Primary practice location
275 North St.
Oars
Harrison, NY 10528
Mailing address
620 W 143Rd St Apt 2C
New York, NY 10031-5957
Phone (646) 408-9639
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 |
|---|---|---|---|
| CRPA-P-3866 | NY | MD | Peer Specialist |
Interoperability endpoints
- anthony.shimkin.p1@direct.saintjosephs.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1952945198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 W 143RD ST APT 2C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100315957",
"telephone_number": "646-408-9639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 NORTH ST.",
"address_2": "OARS",
"city": "HARRISON",
"state": "NY",
"postal_code": "10528",
"telephone_number": "914-925-5261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIMKIN",
"first_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "CRPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-31",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NY",
"license": "CRPA-P-3866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrison, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.