Active NPI
Dr. Shaik Ubaid Medical Practice, PLLC
- Neurology Physician
- Troy, NY
National Provider Identifier
1124606546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- DR. SHAIK UBAID MEDICAL PRACTICE, PLLC
- Practice address
- 2231 Burdett Ave Ste 280
Troy, NY 12180-2453 - Phone
- (518) 272-4601
- Fax
- (518) 272-4600
- NPI assigned
- Mar 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shaik M Ubaid, MD
- Title
- Owner
- Phone
- (516) 567-0783
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
2231 Burdett Ave Ste 280
Troy, NY 12180-2453
Mailing address
2231 Burdett Ave Ste 280
Troy, NY 12180-2453
Phone (518) 272-4601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211006000239 | NY | Part B Supplier - Clinic/Group Practice | 4183022106 |
Receives reassigned benefits from 1 practitioner Practice locations: Troy, NY |
National Provider Directory
National Provider DirectoryLocations
101 Jordan Rd
Ste 202
Troy, NY 12180
Phone (518) 213-0399
2231 Burdett Ave
Ste 280
Troy, NY 12180
Phone (518) 270-9444
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616976000000",
"number": "1124606546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2231 BURDETT AVE STE 280",
"city": "TROY",
"state": "NY",
"postal_code": "121802453",
"telephone_number": "518-272-4601",
"fax_number": "518-272-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 BURDETT AVE STE 280",
"city": "TROY",
"state": "NY",
"postal_code": "121802453",
"telephone_number": "518-272-4601",
"fax_number": "518-272-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. SHAIK UBAID MEDICAL PRACTICE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-29",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A",
"authorized_official_last_name": "UBAID",
"authorized_official_first_name": "SHAIK",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-567-0783",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.