Individual provider Active NPI

John Shields, DPM

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1962066282
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N007261 Issued in NY
Practice address
150 Delancey St Ste a
New York, NY 10002-3308
Phone
(212) 233-3233
Fax
(212) 233-2034
NPI assigned
Apr 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N007261 NY Primary

Addresses

Primary practice location

150 Delancey St Ste a
New York, NY 10002-3308

Mailing address

150 Delancey St Ste a
New York, NY 10002-3308
Phone (212) 233-3233

Other practice location 1

26 W 14th St
New York, NY 10011-7501
Phone (212) 598-4300

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220908002003 NY Practitioner - Podiatry 2365826401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2019
Medicare assignment
May accept Medicare assignment
Group practices
TD Podiatry PCGroup PAC ID 0749599629, 7 clinicians

Practice addresses (Care Compare)

150 Delancey St
Suite a
New York, NY 10002-3308
Phone (212) 233-3233

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue72
Removal of skin lesions1-10
Removal of nail tissue225
Removal or shaving of skin growth209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N007261NYMDFoot & Ankle Surgery Podiatrist
007261NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TD Podiatry PC Foot & Ankle Surgery CurrentSince Jul 1, 2022 Accepting new patients
TD Podiatry Ny PC Foot & Ankle Surgery CurrentSince Jul 1, 2022 Accepting new patients

Locations

26 W 14th St
New York, NY 10011
Phone (212) 598-4300

150 Delancey St
Ste A
New York, NY 10002
Phone (212) 233-3233

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

Networks

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

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1962066282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DELANCEY ST STE A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023308",
            "telephone_number": "212-233-3233",
            "fax_number": "212-233-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DELANCEY ST STE A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023308",
            "telephone_number": "212-233-3233",
            "fax_number": "212-233-2034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 W 14th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100117501",
            "country_code": "US",
            "telephone_number": "212-598-4300",
            "fax_number": "212-598-4311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "JOHN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-23",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N007261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.