DR. MARK SHAPIRO (NPI# 1104866037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104866037 |
| Entity Type | Individual |
| Full Name | DR. MARK SHAPIRO |
| Credential | MD |
| Practice Address |
4355 147th St Flushing NY 11355-1736 |
| Mailing Address |
560 S Broadway Hicksville NY 11801-5027 |
| Practice Telephone | 7187620900 |
| Practice Fax Number | 7188865659 |
| Mailing Telephone | 5169332800 |
| Mailing Fax Number | 5169332809 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 25MA06924400 | NJ | Other Service Providers |
| Y | 174400000X | Specialist | 190231 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CAQH | 10471456 | 01 |
| NY | 01663741 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245515733 | Mark Ellis Shapiro | Pharmacist | 100 Enterton Rd, Costco Pharmacy Dept. 749, Mount Laurel, NJ 08054-6103 | 2011-10-15 |
| 1275610842 | Mark B. Shapiro | Chiropractor | 3300 Webster St Ste 408, Oakland, CA 94609-3149 | 2006-11-01 |
| 1003914680 | Mark A Shapiro | Family Medicine | 10 B Medical Dr, Port Jefferson Station, NY 11776 | 2006-09-20 |
| 1922103522 | Mark Johnathan Shapiro | Physician Assistant | Audie Murphy Va Hospital 7400 Merton Minter Blvd, San Antonio, TX 78229 | 2006-09-14 |
| 1164405270 | Mark L Shapiro | Surgery | 93 Campus Ave I2 Wing, Lewiston, ME 04240-6030 | 2005-11-22 |
| 1154326106 | Mark Shapiro | Dentist | 28052 Espinoza, Mission Viejo, CA 92692-2159 | 2005-06-16 |
| 1720246309 | Mark Shapiro | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Madison Ave Fl 4, Carol G. Simon Cancer Center Suite 4101, Morristown, NJ 07960-6136 | 2008-05-30 |
| 1437281300 | Mark Shapiro | Internal Medicine | 87 Cambridge Park Drive, Wyeth Research, Clinical R&d, Cambridge, MA 02140 | 2007-03-09 |
| 1336251446 | Mark Grant Shapiro | Internal Medicine | 7901 Frost St, San Diego, CA 92123 | 2006-08-31 |
| 1912962275 | Mark H. Shapiro | Internal Medicine | 631 E Grand Ave, Escondido, CA 92025-4402 | 2006-04-19 |
| Street Address |
4355 147TH ST |
| City | FLUSHING |
| State | NY |
| Zip Code | 11355-1736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225085129 | Ajit Belliappa | Specialist | 4355 147th St, Flushing, NY 11355-1736 | 2006-05-27 |
| 1265500284 | Baik Hyun Kang | Radiology | 4355 147th St, Flushing, NY 11355-1736 | 2006-11-30 |
| 1841233723 | Michael Suh | Specialist | 4355 147th St, Flushing, NY 11355-1736 | 2006-06-14 |
| 1447293865 | Irene Audrey Schulman | Specialist | 4355 147th St, Flushing, NY 11355-1736 | 2006-06-14 |
| 1760425292 | James Conrad Hirschy | Specialist | 4355 147th St, Flushing, NY 11355-1736 | 2006-06-13 |
| 1063455616 | Harold Warren | Specialist | 4355 147th St, Flushing, NY 11355-1736 | 2006-06-13 |
| 1023050051 | Yeongcheol Kim | Specialist | 4355 147th St, Flushing, NY 11355-1736 | 2006-06-12 |
| 1891736534 | Christine Sun Kim | Specialist | 4355 147th St, Flushing, NY 11355-1736 | 2006-06-10 |
| 1730120981 | Fabius Nathaniel Fox | Specialist | 4355 147th St, Flushing, NY 11355-1736 | 2006-06-09 |
| 1992746044 | Bernard Wesley Bentley | Specialist | 4355 147th St, Flushing, NY 11355-1736 | 2006-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281364 | Antoinette Sanon | Registered Nurse | 42-49 Alban St, Flushing, NY 11355 | 2020-06-29 |
| 1336765353 | Jayesh Nakum | Physical Therapist | 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 | 2020-06-25 |
| 1417582990 | Royal Class Home Health Care Agency, Inc | Home Health | 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 | 2020-03-05 |
| 1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
| 1740842590 | Ji Nu Lee | Acupuncturist | 138 49 Barclay Ave. 6a, Flushing, NY 11355 | 2019-07-02 |
| 1386203990 | Paula Scharffenberg | Registered Nurse | 140-50 Poelar Ave, Queens, NM 11355 | 2019-06-07 |
| 1821655101 | Erin Cisney | Student in an Organized Health Care Education/Training Program | 5654 Main St, Flushing, NY 11355 | 2019-05-22 |
| 1356810063 | Sanjay Lodha Physician PC | Internal Medicine | 45 72 Parsons Lewis Blvd, Flushing, NY 11355 | 2018-11-26 |
| 1740756576 | Allday Pharmacy Inc | Pharmacy | 4199 Main St, Suite 202a, Flushing, NY 11355 | 2018-10-19 |
| 1477035806 | Xiaona Mo | Acupuncturist | 42-67 Saull St #b, Flushing, NY 11355 | 2018-09-01 |
| Find all providers in zip 11355 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396375515 | Mariyam Yagudayeva | Specialist | 15005 78th Ave, Flushing, NY 11367-3436 | 2020-01-16 |
| 1922648823 | Aina Yao | Specialist | 2616 Union St Apt 6a, Flushing, NY 11354-1722 | 2020-01-09 |
| 1528612090 | Leora A Shimunov | Specialist | 147-32 70th Ave, Flushing, NY 11367 | 2019-08-01 |
| 1245882422 | Elaine M Hirakis | Specialist | 17311 47th Ave, Flushing, NY 11358-3804 | 2019-07-09 |
| 1235791807 | Rivka Balgley | Specialist | 14438 75th Rd Apt 1b, Flushing, NY 11367-2426 | 2019-07-03 |
| 1801352125 | Mayra Alejandra Reyes Ruiz I | Specialist | 15417 65th Ave, Flushing, NY 11367-1226 | 2019-02-11 |
| 1710450242 | Grow and Develop With Inessa LLC | Specialist | 15034 76th Rd, Flushing, NY 11367-3141 | 2019-01-08 |
| 1649743295 | Alma Beltran | Specialist | 14437 79th Ave Apt 1p, Flushing, NY 11367-3751 | 2019-01-07 |
| 1477037943 | Parvin Jabbari | Specialist | 2704 Parsons Blvd Apt 3g, Flushing, NY 11354-1301 | 2018-09-20 |
| 1821586470 | Eastern Chinese American Physician Ipa, Inc. | Specialist | 13620 38th Ave Ste 5j, Flushing, NY 11354-4232 | 2018-04-30 |
| Find all providers in FLUSHING | ||||
Please comment or provide details below to improve the information on DR. MARK SHAPIRO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.