Active NPI
Sarina Aliza Shuster
- Physician Assistant
- Staten Island, NY
National Provider Identifier
1003372020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 023782
- Practice address
- 22 Rupert Ave
Staten Island, NY 10314-5034 - Phone
- (917) 502-8705
- NPI assigned
- Feb 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 023782 | NY | Primary |
Addresses
Primary practice location
22 Rupert Ave
Staten Island, NY 10314-5034
Mailing address
22 Rupert Ave
Staten Island, NY 10314-5034
Phone (917) 502-8705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- sarinashuster@nslijmedgr.allscriptsdirect.net
- sas9364@direct.nyp.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564704000000",
"number": "1003372020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 RUPERT AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103145034",
"telephone_number": "917-502-8705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 RUPERT AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103145034",
"telephone_number": "917-502-8705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUSTER",
"first_name": "SARINA",
"middle_name": "ALIZA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-14",
"last_updated": "2019-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "023782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.