Organization Active NPI

Saad a. Shukri, M.D, PC

  • Surgery Physician
  • East Patchogue, NY
National Provider Identifier
1033260609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SAAD A. SHUKRI, M.D, PC
Practice address
286 Sills Rd Ste 3
East Patchogue, NY 11772-8810
Phone
(631) 447-8697
Fax
(631) 447-0913
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Shukri
Title
Office Manager
Phone
(631) 447-8697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X NY Primary

Addresses

Primary practice location

286 Sills Rd Ste 3
East Patchogue, NY 11772-8810

Mailing address

286 Sills Rd Ste 3
East Patchogue, NY 11772-8810
Phone (631) 447-8697

National Provider Directory

National Provider Directory

Locations

286 Sills Rd
Ste 3
East Patchogue, NY 11772
Phone (631) 447-8697

629 Route 112
Ste 8
Patchogue, NY 11772
Phone (631) 447-8697

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033260609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 SILLS RD STE 3",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728810",
            "telephone_number": "631-447-8697",
            "fax_number": "631-447-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 SILLS RD STE 3",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728810",
            "telephone_number": "631-447-8697",
            "fax_number": "631-447-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAAD A. SHUKRI, M.D, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHUKRI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-447-8697"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.