Organization Active NPI

Dr. Shaik Ubaid Medical Practice, PLLC

  • Neurology Physician
  • Troy, NY
National Provider Identifier
1124606546
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
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

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Dr. Shaik M Ubaid, MDNPI 1720023880
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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20211006000239 NY Part B Supplier - Clinic/Group Practice 4183022106 Receives reassigned benefits from 1 practitioner
Practice locations: Troy, NY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.