Active NPI
Shahmeen Irshad, MD
- Internal Medicine Physician
- Staten Island, NY
National Provider Identifier
1255997433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA11838000
- Practice address
- 355 Bard Avenue
Department of Medicine Villa BLDG 1St Floor
Staten Island, NY 10310 - Phone
- (718) 818-2419
- NPI assigned
- May 14, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA11838000 | NJ | Primary |
Addresses
Primary practice location
355 Bard Avenue
Department of Medicine Villa BLDG 1St Floor
Staten Island, NY 10310
Mailing address
355 Bard Avenue
Department of Medicine Villa BLDG 1St Floor
Staten Island, NY 10310
Phone (718) 818-2419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11838000 | NJ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1255997433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 BARD AVENUE",
"address_2": "DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10310",
"telephone_number": "718-818-2419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 BARD AVENUE",
"address_2": "DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10310",
"telephone_number": "718-818-2419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRSHAD",
"first_name": "SHAHMEEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-14",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA11838000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.