Healthcare Provider Details

I. General information

NPI: 1942336516
Provider Name (Legal Business Name): NEIL S SHACHTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15300 JOG RD SUITE 202
DELRAY BEACH FL
33446-2162
US

IV. Provider business mailing address

15300 JOG RD SUITE 202
DELRAY BEACH FL
33446-2162
US

V. Phone/Fax

Practice location:
  • Phone: 561-637-6033
  • Fax: 561-637-6035
Mailing address:
  • Phone: 561-637-6033
  • Fax: 561-637-6035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number036166001
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number036166001
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME100382
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number165820
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberME100382
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number165820
License Number StateNY
# 7
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberD87110
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: