DR. JACK STACEY SHANEWISE M.D.
NPI 1467506162
Anesthesiology in New York, NY
About Dr. Jack Stacey Shanewise M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACK STACEY SHANEWISE M.D. (NPI 1467506162) is an individual anesthesiology provider in New York, New York, licensed in New York (234156) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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. Jack Stacey Shanewise M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
NEW YORK, NY 10032
NEW YORK, NY 10032
NEW YORK, NY 10032
NEW YORK, NY 10032
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 Jack Shanewise's NPI number?
The NPI number for Jack Shanewise is 1467506162. It was assigned to this individual provider in the NPPES registry on January 22, 2007.
Where is Jack Shanewise located?
Jack Shanewise practices at 622 W 168th St, New York, NY 10032. The listed phone number is (212) 305-9878.
What is Jack Shanewise's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Jack Shanewise enrolled in Medicare?
Yes. Jack Shanewise is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jack Shanewise was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.