{"npi":"1861692287","type":"NPI-1","status":"active","name":{"display":"Alla Shabtai Rpa-C","other":[],"first":"ALLA","last":"SHABTAI","middle":"ADI","credential":"RPA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"NY","license":"011844"}]},"addresses":[{"purpose":"LOCATION","street_1":"1042 SOUTHERN BLVD","city":"BRONX","state":"NY","postal_code":"10459","country_code":"US","phone":"7185420200","fax":"7185420201"},{"purpose":"MAILING","street_1":"1042 SOUTHERN BLVD","city":"BRONX","state":"NY","postal_code":"104593406","country_code":"US","phone":"7185420200","fax":"7185420201"}],"license":{"state":"NY","number":"011844"},"identifiers":[{"type_code":"01","label":"Other","value":"1861692287","state":null,"issuer":"NPI"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20071112000458","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NY","pac_id":"0042308827"},{"enrlmt_id":"I20101013000673","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"GA","pac_id":"0042308827"},{"enrlmt_id":"I20121226000108","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NJ","pac_id":"0042308827"},{"enrlmt_id":"I20221122001860","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MD","pac_id":"0042308827"},{"enrlmt_id":"I20221122003609","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"FL","pac_id":"0042308827"},{"enrlmt_id":"I20221128001767","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"PA","pac_id":"0042308827"},{"enrlmt_id":"I20230320002320","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"RI","pac_id":"0042308827"},{"enrlmt_id":"I20230504000067","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"TX","pac_id":"0042308827"},{"enrlmt_id":"I20230512000399","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"CO","pac_id":"0042308827"},{"enrlmt_id":"I20230516000580","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MI","pac_id":"0042308827"},{"enrlmt_id":"I20230523000106","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MA","pac_id":"0042308827"},{"enrlmt_id":"I20230606002370","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"VA","pac_id":"0042308827"},{"enrlmt_id":"I20230712001942","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MT","pac_id":"0042308827"},{"enrlmt_id":"I20230717000641","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"KS","pac_id":"0042308827"},{"enrlmt_id":"I20230719003284","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MO","pac_id":"0042308827"},{"enrlmt_id":"I20230719003760","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NE","pac_id":"0042308827"},{"enrlmt_id":"I20230731003030","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"CA","pac_id":"0042308827"},{"enrlmt_id":"I20230801002019","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NC","pac_id":"0042308827"},{"enrlmt_id":"I20230802000049","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"CT","pac_id":"0042308827"},{"enrlmt_id":"I20230821003948","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"IN","pac_id":"0042308827"},{"enrlmt_id":"I20230822000874","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"IA","pac_id":"0042308827"},{"enrlmt_id":"I20230830002787","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"WI","pac_id":"0042308827"},{"enrlmt_id":"I20230831002365","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"IL","pac_id":"0042308827"},{"enrlmt_id":"I20230901000170","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NH","pac_id":"0042308827"},{"enrlmt_id":"I20230901002356","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"DE","pac_id":"0042308827"},{"enrlmt_id":"I20230906000601","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"OH","pac_id":"0042308827"},{"enrlmt_id":"I20230926002499","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"VT","pac_id":"0042308827"},{"enrlmt_id":"I20230926002895","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NV","pac_id":"0042308827"},{"enrlmt_id":"I20230927001405","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"DC","pac_id":"0042308827"},{"enrlmt_id":"I20230928001827","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MN","pac_id":"0042308827"},{"enrlmt_id":"I20230928002631","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"SC","pac_id":"0042308827"},{"enrlmt_id":"I20231102003561","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"AL","pac_id":"0042308827"},{"enrlmt_id":"I20240102000493","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"WV","pac_id":"0042308827"},{"enrlmt_id":"I20240108000413","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"KY","pac_id":"0042308827"},{"enrlmt_id":"I20240123003498","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"TN","pac_id":"0042308827"},{"enrlmt_id":"I20240127000583","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"OK","pac_id":"0042308827"},{"enrlmt_id":"I20240202003577","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"WY","pac_id":"0042308827"},{"enrlmt_id":"I20240809002644","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"AZ","pac_id":"0042308827"},{"enrlmt_id":"I20250306001789","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"LA","pac_id":"0042308827"},{"enrlmt_id":"I20250408003103","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"ME","pac_id":"0042308827"}]},"enumeration_date":"2007-07-24","last_updated":"2023-09-05","_meta":{"source":"NPPES","snapshot_date":"2023-09-05","doc_url":"https://findmynpi.com/api"}}