Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark A Shapiro, MD

Individual provider Family Medicine Physician · NPI 1003914680

Dr. Mark A Shapiro, MD is a Family Practice in Port Jefferson Station, New York. Graduated from University of North Carolina at Chapel Hill School of Medicine in 1980, 46 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
46
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10 B Medical Dr
Port Jefferson Station, NY 11776
Phone: (631) 474-1111
Fax: (631) 474-4694
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 147508 (NY)

Record details

NPI number1003914680
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 20, 2006
Last updated in NPPESAugust 14, 2020
Certification dateAugust 14, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 1980 (46 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Port Jefferson Station