DR. ALICE ANN SHANKLIN MD
NPI 1336636653
Pediatrics - Pediatric Critical Care Medicine in New Hyde Park, NY

Q: What is Alice Shanklin's NPI number?

The NPI number for Alice Shanklin is 1336636653. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Q: What is Alice Shanklin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Alice Shanklin was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 23, 2018PECOS Enrolled

270-5 76TH AVENUE, NEW HYDE PARK, NY 11040(631) 645-1360 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2024, Apr 23, 2018 (2 updates tracked since 2018).

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About Dr. Alice Ann Shanklin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALICE ANN SHANKLIN MD (NPI 1336636653) is an individual pediatric critical care medicine provider in New Hyde Park, New York, licensed in New York (329358-01) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336636653

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. ALICE ANN SHANKLINCredential: MD

Location Address270-5 76TH AVENUENew Hyde Park, NY 11040

Mailing Address111 Michigan Ave NwWashington, DC 20010-2916 · (202) 476-5464

Phone(631) 645-1360

Sole ProprietorNo

Enumeration DateApril 23, 2018

Last NPPES UpdateJune 14, 20242 updates tracked since enumeration

NPPES CertifiedMay 31, 2024

✔ NPI 1336636653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in NY · 329358-01

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

270-5 76TH AVENUE, New Hyde Park, NY 11040

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alice Ann Shanklin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONNOR JOSEPH TUPPER MD

Student in an Organized Health Care Education/Training Program

270-5 76TH AVENUE
NEW HYDE PARK, NY 11040

Nassau County (718) 470-7901

JESSICA LANZKOWSKY

Student in an Organized Health Care Education/Training Program

270-5 76TH AVENUE
QUEENS, NY 11040

Nassau County (718) 470-7000

MR. CHRISTOPHER MICHAEL FEVOLA PA-C

Physician Assistant

270-5 76TH AVENUE
QUEENS, NY 11040

Nassau County (718) 470-7000

SUNNY CHI

Student in an Organized Health Care Education/Training Program

270-5 76TH AVENUE
NEW HYDE PARK, NY 11040

Nassau County (516) 562-4764

TIFFANY WILLIAMS DNP, CRNA

Nurse Anesthetist, Certified Registered

270-5 76TH AVENUE
NEW HYDE PARK, NY 11040

Nassau County (718) 470-7000

CATHERINE NAPPI PA-C

Physician Assistant

270-5 76TH AVENUE
NEW HYDE PARK, NY 11040

Nassau County (718) 470-7000

SHREYA MUKUND INGLE MD, MPH

Student in an Organized Health Care Education/Training Program

270-5 76TH AVENUE
QUEENS, NY 11040

Nassau County (718) 470-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alice Shanklin's NPI number?

The NPI number for Alice Shanklin is 1336636653. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Alice Shanklin located?

Alice Shanklin practices at 270-5 76th Avenue, New Hyde Park, NY 11040. The listed phone number is (631) 645-1360.

What is Alice Shanklin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Alice Shanklin enrolled in Medicare?

Yes. Alice Shanklin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alice Shanklin was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.