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Deactivated NPI 1114098423 Deactivated / Inactive NPI Male Practitioner

Dr. Gerald Matthew Shaw , DC

Chiropractor • Bronx, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gerald Shaw has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 10, 2006
NPI Deactivation Date September 20, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Gerald Shaw, DC was a registered Chiropractor practicing in Bronx, NY. Throughout an active medical career spanning 16 years, Dr. Shaw provided care at the practice location at 3600 FIELDSTON RD until profile deactivation on 2022-09-20.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3600 Fieldston Rd
Suite 2e

Bronx, NY 104632004

Telephone 7187967196
Fax 7187967407

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.7 Yrs
State Avg: 28.5 Yrs
Regional Practice Density
86 Specialists

Practicing in Bronx, NY (4796 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
40.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
390 41 $75.00 $45.01

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License NY X-002902

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Elvira Acosta , LCSW-R

Social Worker - Clinical

NPI 1063724581

Licensed Clinical Social Worker - Registered

Dr. Kern Lee , DDS

Dentist - General Practice

NPI 1386845543

Doctor of Dental Surgery

NPI 1467585109

Doctor of Philosophy (Ph.D.)

Kathy Sommerich , LCSW

Social Worker - Clinical

NPI 1497993323

Licensed Clinical Social Worker

Sanchia Palmer , LCSW

Social Worker - Clinical

NPI 1518040971

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 20, 2022

Record deactivated on September 20, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3600 FIELDSTON RD, SUITE 2E, BRONX, NY 104632004 (Tel: 7187967196)

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Updated Business Mailing Address July 08, 2007

Registered at 3600 FIELDSTON RD, SUITE 2E, BRONX, NY 104632004 (Tel: 7187967196)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GERALD SHAW, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #X-002902 in NY)

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Initial NPI Registration & Enumeration November 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114098423
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2006
Last Update: July 08, 2007
Deactivation Date: September 20, 2022

Mailing Address

3600 Fieldston Rd, Suite 2e

Bronx, NY 104632004

Phone: 7187967196

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.