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DR. STACEY SHAPIRO M.D.
NPI 1457323776
Pediatrics - Adolescent Medicine in Woodbury, NY

Active since February 02, 2006PECOS Enrolled
40 CROSSWAYS PARK DR, WOODBURY, NY 11797(516) 677-9658(516) 677-9623 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Stacey Shapiro M.d. NPPES

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

DR. STACEY SHAPIRO M.D. (NPI 1457323776) is an individual adolescent medicine provider in Woodbury, New York, licensed in New York (202175) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457323776
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. STACEY SHAPIROCredential: M.D.
Location Address40 CROSSWAYS PARK DRWoodbury, NY 11797-2036
Mailing Address40 Crossways Park DrWoodbury, NY 11797-2036 · (516) 677-9658 · Fax (516) 677-9623
Phone(516) 677-9658
Fax(516) 677-9623
Sole ProprietorNo
Enumeration DateFebruary 2, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1457323776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NY · 202175
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
40 CROSSWAYS PARK DR, Woodbury, NY 11797
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stacey Shapiro M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Stacey Shapiro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optum Medical Care, P.C.
29 mi
Cardiovascular Disease
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Optum Medical Care PC
  • 1,601 clinicians in this Medicare group
NPI 1982643003 (914) 241-1050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

HON CHEUNG CHAN MD
Internal Medicine (Hematology & Oncology)
40 CROSSWAYS PARK DR, SUITE 103
WOODBURY, NY 11797
Nassau County (516) 921-5533
DR. FARIBA IRANI DDS
Dentist
40 CROSSWAYS PARK DR
WOODBURY, NY 11797
Nassau County (516) 921-6010
DR. MARY ELLEN RENNA M.D.
Pediatrics (Adolescent Medicine)
40 CROSSWAYS PARK DR
WOODBURY, NY 11797
Nassau County (516) 677-9628
BRUCE IRA KAPPEL MD
Internal Medicine (Hematology & Oncology)
40 CROSSWAYS PARK DR, STE 103
WOODBURY, NY 11797
Nassau County (516) 921-5533
SQUARE CARE MEDICAL GROUP, LLP
Obstetrics & Gynecology
40 CROSSWAYS PARK DR
WOODBURY, NY 11797
Nassau County (516) 496-3900
JOSEPH H PIPALA MD
Internal Medicine (Hematology & Oncology)
40 CROSSWAYS PARK DR, SUITE 103
WOODBURY, NY 11797
Nassau County (516) 921-5533
DR. MARGARITA YAROVIKOVA M.D.
Internal Medicine (Hematology & Oncology)
40 CROSSWAYS PARK DR, SUITE 103
WOODBURY, NY 11797
Nassau County (516) 921-5533
VIRGINIA OTT MSN, ONC, NP-C
Nurse Practitioner (Adult Health)
40 CROSSWAYS PARK DR, SUITE 103
WOODBURY, NY 11797
Nassau County (516) 921-5533

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 Stacey Shapiro's NPI number?

The NPI number for Stacey Shapiro is 1457323776. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Stacey Shapiro located?

Stacey Shapiro practices at 40 Crossways Park Dr, Woodbury, NY 11797. The listed phone number is (516) 677-9658.

What is Stacey Shapiro's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Stacey Shapiro enrolled in Medicare?

Yes. Stacey Shapiro is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacey Shapiro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Shapiro reassigns Medicare benefits to Optum Medical Care, P.C. (Mount Kisco, NY). The 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 Stacey Shapiro'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 Stacey Shapiro was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.