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

John E Shallat, MD

Individual provider Emergency Medicine Physician · NPI 1538379599

John E Shallat, MD is an Emergency Medicine in Deer Park, New York. Graduated from University of Cincinnati College of Medicine in 1998, 28 years ago. Practices with City Medical of Upper East Side PLLC, a 663-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
28
Trained at
University of Cincinnati College of Medicine
Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1930 Deer Park Ave
Deer Park, NY 11729-3328
Phone: (631) 254-5900
Fax: (631) 392-0948
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 219990-1 (NY)

Record details

NPI number1538379599
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 22, 2007
Last updated in NPPESDecember 6, 2019
Mailing address1345 Rxr Plz Fl 13, Uniondale, NY 11556-1301

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice City Medical Of Upper East Side Pllc — 663 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount