NPI Code Details Logo

NPI 1942336516

NPI 1942336516 : NEIL S SHACHTER MD : DELRAY BEACH, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1942336516
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    NEIL S SHACHTER MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/26/2007
-----------------------------------------------------
    Last Update Date     |    09/22/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    15300 JOG RD SUITE 202
-----------------------------------------------------
    City                 |    DELRAY BEACH
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33446-2162
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    561-637-6033
-----------------------------------------------------
    Fax                  |    561-637-6035
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    15300 JOG RD SUITE 202
-----------------------------------------------------
    City                 |    DELRAY BEACH
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33446-2162
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    561-637-6033
-----------------------------------------------------
    Fax                  |    561-637-6035
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RC0000X
-----------------------------------------------------
    Taxonomy Name        |    Cardiovascular Disease Physician
-----------------------------------------------------
    License Number       |    036166001
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207RC0000X
-----------------------------------------------------
    Taxonomy Name        |    Cardiovascular Disease Physician
-----------------------------------------------------
    License Number       |    036166001
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207RC0000X
-----------------------------------------------------
    Taxonomy Name        |    Cardiovascular Disease Physician
-----------------------------------------------------
    License Number       |    ME100382
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    2083P0901X
-----------------------------------------------------
    Taxonomy Name        |    Public Health & General Preventive Medicine Physician
-----------------------------------------------------
    License Number       |    165820
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    2083P0901X
-----------------------------------------------------
    Taxonomy Name        |    Public Health & General Preventive Medicine Physician
-----------------------------------------------------
    License Number       |    ME100382
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    207RC0000X
-----------------------------------------------------
    Taxonomy Name        |    Cardiovascular Disease Physician
-----------------------------------------------------
    License Number       |    165820
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    207RC0000X
-----------------------------------------------------
    Taxonomy Name        |    Cardiovascular Disease Physician
-----------------------------------------------------
    License Number       |    D87110
-----------------------------------------------------
    License Number State |    MD
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.