Active NPI
Shakil Zubair, M.D
- Psychiatry Physician
- West Brentwood, NY
National Provider Identifier
1194865303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- NY216932
- Practice address
- 998 Crooked Hill Road
Pilgrim Psychiatriccenter
West Brentwood, NY 11717 - Phone
- (631) 761-2414
- Fax
- (631) 761-3674
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NY216932 | NY | Primary |
Addresses
Primary practice location
998 Crooked Hill Road
Pilgrim Psychiatriccenter
West Brentwood, NY 11717
Mailing address
2454 6TH Ave
East Meadow, NY 11554-3235
Phone (515) 809-6234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160229001205 | NY | Order and Referring Only - Psychiatry | 3870777436 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NY216932 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nys Office of Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- West Brentwood, NY
- NPI 1740344910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194865303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2454 6TH AVE",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115543235",
"telephone_number": "515-809-6234",
"fax_number": "631-761-3674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "998 CROOKED HILL ROAD",
"address_2": "PILGRIM PSYCHIATRICCENTER",
"city": "WEST BRENTWOOD",
"state": "NY",
"postal_code": "11717",
"telephone_number": "631-761-2414",
"fax_number": "631-761-3674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUBAIR",
"first_name": "SHAKIL",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "NY216932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.