Dr Sam Shahem OBGYN PLLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

DR SAM SHAHEM OBGYN PLLC

Practice address

10031 4TH Ave
Suite 1E
Brooklyn, NY 11209-8335

Phone

(718) 921-5370

Fax

(718) 921-9136

NPI assigned

Jan 27, 2012

Last updated

Jan 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sam Shahem, M.D.NPI 1790716579

Title

Owner

Phone

(718) 921-5370

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sam Shahem, MD

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1790716579
  Authorized official Same address or phone

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1194097857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10031 4TH AVE",
            "address_2": "SUITE 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098335",
            "telephone_number": "718-921-5370",
            "fax_number": "718-921-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10031 4TH AVE",
            "address_2": "SUITE 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098335",
            "telephone_number": "718-921-5370",
            "fax_number": "718-921-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SAM SHAHEM OBGYN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "SHAHEM",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-921-5370",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.