Active NPI
Mohamad Yazan Shamli Oghli
- Student in an Organized Health Care Education/Training Program
- Buffalo, NY
National Provider Identifier
1083554653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 100 High St
Buffalo, NY 14203-1126 - Phone
- (716) 859-5600
- NPI assigned
- Mar 31, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | Primary |
Addresses
Primary practice location
100 High St
Buffalo, NY 14203-1126
Mailing address
100 High St
Buffalo, NY 14203-1126
Other practice location 1
462 Grider St
Buffalo, NY 14215-3098
Phone (716) 898-3000
Other practice location 2
Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300
Other practice location 3
50 George Karl Blvd
Williamsville, NY 14221-7100
Phone (716) 650-0905
Other names 1
- Yazan Shamli Oghli
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1083554653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HIGH ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HIGH ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031126",
"telephone_number": "716-859-5600"
}
],
"practiceLocations": [
{
"address_1": "462 Grider St",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142153098",
"country_code": "US",
"telephone_number": "716-898-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Elm and Carlton St",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142630001",
"country_code": "US",
"telephone_number": "716-845-2300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 George Karl Blvd",
"address_purpose": "LOCATION",
"city": "Williamsville",
"state": "NY",
"postal_code": "142217100",
"country_code": "US",
"telephone_number": "716-650-0905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAMLI OGHLI",
"first_name": "MOHAMAD YAZAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-31",
"last_updated": "2026-03-31",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YAZAN",
"last_name": "SHAMLI OGHLI",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.