Shepps, Gerald Jay

Shepps, Gerald Jay is an individual health care provider with primary practice located at 150 Broadway Rm 1401 , New York NY 10038-4378. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Glaucoma Specialist is his primary health care specialty. Shepps, Gerald Jay can be contacted via phone (212) 233-2344.

Contact Information

Primary practice address
150 Broadway Rm 1401 New York NY 10038-4378
Fax: (212) 732-9453
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 171891 New York
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 171891 New York

Profile Details

NPI number 1538277603
LBN Legal business name Shepps, Gerald Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Nov 24th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538277603 NPPES
New York MEDICAID 01367573

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