Basic Information
| Provider Information | |||||||||
| NPI: | 1063496537 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHAPIRO | ||||||||
| FirstName: | WARREN | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 BROOKDALE PLZ | ||||||||
| Address2: | ROOM 169CHC | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112123139 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182405615 | ||||||||
| FaxNumber: | 7184854064 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 BROOKDALE PLZ | ||||||||
| Address2: | ROOM 169CHC | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112123139 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182405615 | ||||||||
| FaxNumber: | 7184854064 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/30/2005 | ||||||||
| LastUpdateDate: | 10/11/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | 100379 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
ID Information
| ID | Type | State | Issuer | Description | 2349200 | 01 | NY | AETNA US HEALTHCARE - HMO | OTHER | 2503982 | 01 | NY | GHI | OTHER | 56942 | 01 | NY | BLUECHOICE | OTHER | 5826241 | 01 | NY | AETNA US HEALTHCARE -PPO | OTHER | 218693 | 01 | NY | WORKMAN'S COMP | OTHER | 2506274 | 01 | NY | GHI | OTHER | 569421 | 01 | NY | MEDICARE PTAN | OTHER | 6014071009 | 01 | NY | CIGNA - SENIORS | OTHER | KS445 | 01 | NY | OXFORD | OTHER | 00172129 | 05 | NY | MEDICAID | 100379 | 01 | NY | HIP | OTHER | BK0200401 | 01 | NY | AMERICHOICE | OTHER | 08S761 | 01 | NY | EMPIRE BC/BS | OTHER | P2085088 | 01 | NY | OXFORD | OTHER | 100379-B41 | 01 | NY | 1199 NBF | OTHER | 14-43662 | 01 | NY | UNITED HEALTHCARE | OTHER | 100379-A41 | 01 | NY | 1199 NBF | OTHER | 6014071006 | 01 | NY | CIGNA - REGULAR | OTHER | 11364 | 01 | NY | ELDERPLAN | OTHER |