Active NPI
Kambiz Shekib, MD PC
- Internal Medicine Physician
- Jamaica, NY
National Provider Identifier
1215956040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 208684
- Legal business name
- KAMBIZ SHEKIB, MD PC
- Practice address
- 179-43A Hillside Ave.
Jamaica, NY 11432 - Phone
- (516) 410-2184
- Fax
- (516) 482-3707
- NPI assigned
- Jul 19, 2006
- 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. Kambiz Shekib, MD
- Title
- Owner
- Phone
- (516) 410-2184
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 208684 | NY | Primary |
Addresses
Primary practice location
179-43A Hillside Ave.
Jamaica, NY 11432
Mailing address
62 Rose Ave
Great Neck, NY 11021-1524
Phone (516) 410-2184
National Provider Directory
National Provider DirectoryLocations
17943A Hillside Ave
Jamaica, NY 11432
Phone (516) 410-2184
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- New Hyde Park, NY
- NPI 1720075260
-
- Internal Medicine Physician
- Nyack, NY
- NPI 1922261759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215956040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 ROSE AVE",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110211524",
"telephone_number": "516-410-2184",
"fax_number": "516-482-3707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179-43A HILLSIDE AVE.",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11432",
"telephone_number": "516-410-2184",
"fax_number": "516-482-3707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAMBIZ SHEKIB, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHEKIB",
"authorized_official_first_name": "KAMBIZ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-410-2184",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "208684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.