DR. SHELLY BETH WALDMAN M.D.
NPI 1437582103
Pediatrics in East Setauket, NY
About Dr. Shelly Beth Waldman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHELLY BETH WALDMAN M.D. (NPI 1437582103) is an individual pediatrics provider in East Setauket, New York, licensed in New York (279765) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Shelly Beth Waldman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Shelly Waldman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stony Brook, NY 11794
- Reassigned Medicare billing, New York enrollment
- 191 clinicians in this Medicare group
New York, NY 10037
- Reassigned Medicare billing, New York enrollment
- 676 clinicians in this Medicare group
New York, NY 10037
- Reassigned Medicare billing, New York enrollment
- 2,094 clinicians in this Medicare group
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 623 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11733 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAST SETAUKET, NY 11733
EAST SETAUKET, NY 11733
EAST SETAUKET, NY 11733
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 Shelly Waldman's NPI number?
The NPI number for Shelly Waldman is 1437582103. It was assigned to this individual provider in the NPPES registry on August 16, 2013.
Where is Shelly Waldman located?
Shelly Waldman practices at 4 Technology Dr, East Setauket, NY 11733. The listed phone number is (631) 444-0650.
What is Shelly Waldman's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Shelly Waldman enrolled in Medicare?
Yes. Shelly Waldman is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shelly Waldman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Waldman reassigns Medicare benefits to 4 organizations: Stony Brook Children's Service, University Faculty Practice Corporatio (Stony Brook, NY), Harlem Medical Associates PC (New York, NY), Physician Affiliate Group Of New York PC (New York, NY) and Metropolitan Medical Practice Plan PC (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelly Waldman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shelly Waldman was last updated on December 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Shelly Beth Waldman, M.D. · NPI 1437582103
Pediatrics physician in East Setauket, New York. Individual provider, active in the CMS NPPES registry since August 16, 2013.
## Identity
- **NPI:** 1437582103 (Entity type: Individual)
- **Enumerated:** August 16, 2013
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 279765 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 4 TECHNOLOGY DR, East Setauket, NY 11733-4080
- **Phone:** (631) 444-0650
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Stony Brook Children's Service, University Faculty Practice Corporatio (NPI 1083660575, Stony Brook, NY); Harlem Medical Associates PC (NPI 1487957692, New York, NY); Physician Affiliate Group Of New York PC (NPI 1013375526, New York, NY); Metropolitan Medical Practice Plan PC (NPI 1306138383, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 3, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1437582103) · Data from the CMS NPPES public registry.