YEVGENIYA SHURP (NPI# 1669438941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669438941 |
| Entity Type | Individual |
| Full Name | YEVGENIYA SHURP |
| Credential | MD |
| Practice Address |
4 Morrisey Drive Putnam Valley NY 10579 |
| Mailing Address |
130 Grand Street Croton NY 10520 |
| Practice Telephone | 8455285222 |
| Practice Fax Number | 8455288589 |
| Mailing Telephone | 9142714727 |
| Mailing Fax Number | 9142715639 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2015-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 207317 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01809961 | 05 |
| Street Address |
4 MORRISEY DRIVE |
| City | PUTNAM VALLEY |
| State | NY |
| Zip Code | 10579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346766789 | Dawn Elizabeth Miller | Early Intervention Provider Agency | 25 Hiawatha Rd, Putnam Valley, NY 10579 | 2017-08-17 |
| 1336695915 | Scott Conroy | Social Worker | 24 Pheasant Run Rd., Putnam Valley, NY 10579 | 2016-09-01 |
| 1356607592 | Susan Kovacs | Occupational Therapist | 37 Park Drive, Putnam Valley, NY 10579 | 2012-04-02 |
| 1699083956 | Shelby J Isaac | Pharmacist | 7 Pheasnt Run Rd, Putnam Valley, NY 10579 | 2010-09-21 |
| 1013142751 | Christine Linda Hankel | Registered Nurse | 13 Longridge Trail, Putnam Valley, NY 10579 | 2009-05-26 |
| 1629130448 | Shashikant Ochhavlal Desai | Pediatrics | 4 Morrissay Drive, Putnam Valley, NY 10579 | 2006-12-15 |
| 1477622439 | Edyta Skladzinska-reyher | Internal Medicine | Waterside Professional Park, Oregon Rd., Suite 105, Putnam Valley, NY 10579 | 2006-11-06 |
| 1437235926 | Alan R Coffino | Internal Medicine | 53 Peekskill Hollow Rd, Putnam Valley, NY 10579 | 2006-10-27 |
| 1003833617 | Putnam Valley Volunteer Ambulance Corporations Inc | Ambulance | 218 Oscawana Lake Road, Putnam Valley, NY 10579 | 2006-07-17 |
| 1508832031 | Laura A Bienenfeld | Internal Medicine | 201 Waterside Professional Park, Nyu Langone Internal Medicine At Hudson Valley, Putnam Valley, NY 10579 | 2006-02-24 |
| Find all providers in zip 10579 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629130448 | Shashikant Ochhavlal Desai | Pediatrics | 4 Morrissay Drive, Putnam Valley, NY 10579 | 2006-12-15 |
| 1194722868 | Putnam Valley Pediatrics, P.C. | Pediatrics | 4 Morrissey Dr, Putnam Valley, NY 10579-3018 | 2005-07-07 |
| 1154965622 | Mwaffak Bashir | Pediatrics | 101 Waterside Professional Park, Putnam Valley, NY 10579-3502 | 2019-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518577550 | Danielle Vann | Pediatrics | 151 N Washington St # 2s, Sleepy Hollow, NY 10591-3117 | 2020-08-04 |
| 1699392357 | Long Island Pediatrics of Patchogue PC | Pediatrics | 475 E Main St Ste 109, Patchogue, NY 11772-3121 | 2020-06-29 |
| 1811510811 | Dr Pediatric PC | Pediatrics | 38 Hopewell Dr, Stony Brook, NY 11790-2339 | 2020-05-26 |
| 1598386864 | Sandra Howard Bonat | Pediatrics | 4 Filomena Ct, Dix Hills, NY 11746-4750 | 2020-04-28 |
| 1497374359 | Medical Health 360 Pllc | Pediatrics | 16955 County Route 59, Dexter, NY 13634-2027 | 2020-04-10 |
| 1922633007 | Danzi & Hajduk-bennett Pediatrics Pllc | Pediatrics | 994 W Jericho Tpke Ste 202, Smithtown, NY 11787-3234 | 2020-03-09 |
| 1396377180 | Chelsea Oberkrieser | Pediatrics | 17 Long Ave Ste 110, Hamburg, NY 14075-6200 | 2020-02-10 |
| 1619508900 | Total Care Pediatrics Pllc | Pediatrics | 4265 Kissena Blvd # L4, Flushing, NY 11355-3273 | 2020-01-27 |
| 1639709157 | Decerina Uy Md PC | Pediatrics | 649 Route 25a Ste 3, Rocky Point, NY 11778-8983 | 2020-01-23 |
| 1447890603 | Opear Holdings, Inc | Pediatrics | 2635 Frances St, Bellmore, NY 11710-5401 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
| City | PUTNAM VALLEY |
| Zip Code | 10579 |
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| 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.