Individual provider Active NPI

Shahid Parvez, MD

  • Neurology Physician
  • White Plains, NY
National Provider Identifier
1265434922
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
244587 Issued in NY
Practice address
297 Knollwood Rd Ste 333
White Plains, NY 10607-1838
Phone
(914) 560-0005
Fax
(914) 600-3009
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 244587 NY Primary

Addresses

Primary practice location

297 Knollwood Rd Ste 333
White Plains, NY 10607-1838

Mailing address

297 Knollwood Rd Ste 333
White Plains, NY 10607-1838
Phone (914) 560-0005

Other identifiers 1

IdentifierTypeStateIssuer
02374183MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610000544 NY Practitioner - NeurologyPractitioner - Pediatric Medicine 2769465806 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Rehabilitation Center, Inc. CurrentSince Aug 7, 2023 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Jan 1, 2014 Accepting new patients
Westchester Pediatric Neurology CurrentSince Feb 6, 2022 Accepting new patients
Boston Children'S Health Physicians, LLP CurrentSince Jan 1, 2014 Accepting new patients

Locations

19 Bradhurst Ave
Ste 1400
Hawthorne, NY 10532
Phone (914) 493-7997

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

755 N Broadway
Ste 540
Sleepy Hollow, NY 10591
Phone (914) 358-0188

755 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 302-0100

317 North St
White Plains, NY 10605
Phone (914) 294-6196

297 Knollwood Rd
Ste 333
White Plains, NY 10607
Phone (914) 329-0478

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1265434922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 KNOLLWOOD RD STE 333",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071838",
            "telephone_number": "914-560-0005",
            "fax_number": "914-600-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 KNOLLWOOD RD STE 333",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071838",
            "telephone_number": "914-560-0005",
            "fax_number": "914-600-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARVEZ",
        "first_name": "SHAHID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "244587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02374183",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.