Provider Demographics
NPI:1235344938
Name:SHIFF, STEVEN JOEL (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JOEL
Last Name:SHIFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 W 68TH ST
Mailing Address - Street 2:APT#30C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5808
Mailing Address - Country:US
Mailing Address - Phone:917-797-7670
Mailing Address - Fax:212-496-8836
Practice Address - Street 1:FOREST RESEARCH INSTITUTE, HARBORSIDE FINANCIAL CENTER
Practice Address - Street 2:PLAZA V, 21ST FLOOR
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07311
Practice Address - Country:US
Practice Address - Phone:201-427-8077
Practice Address - Fax:201-427-8103
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY165262207RG0100X
NJ25MA07174800207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF57001Medicare UPIN