Showaib Hasan Kamal

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

17561 Hillside Ave Ste 404
Jamaica, NY 11432-5769

Phone

(718) 526-6226

NPI assigned

Jan 5, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ajay 28 LLCGroup PAC ID 9830436328, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAA

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.

• Ajay 28 LLC

  dba New York Preventive Health Center

  • Clinic/Center
  • Forest Hills, NY
  • NPI 1609342898
  Medicare reassignment Care Compare group
• Bobby Buka, M.D., P.C.

  • Dermatology Physician
  • New York, NY
  • NPI 1134349954
  Medicare reassignment NPD
• Derm Specs of PA PLLC

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1528823507
  NPD (past)

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

{
    "created_epoch": "1578182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1275172447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8280 167TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321823",
            "telephone_number": "347-603-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17561 HILLSIDE AVE STE 404",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325769",
            "telephone_number": "718-526-6226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Rockaway Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hewlett",
            "state": "NY",
            "postal_code": "115571666",
            "country_code": "US",
            "telephone_number": "516-887-4343",
            "fax_number": "516-887-8569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMAL",
        "first_name": "SHOWAIB",
        "middle_name": "HASAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-05",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallik Kalepu, M.D
• Andrea C Kalman, PA
• Syamala Kalyanasundaram
• Helena Kamal
• Mithun Kamal
• Kambiz Shekib, MD PC
• Joan Diane Kamerman, SLP
• Bruce Kamins, D.C,
• Venkateshwarlu Kamishetty, MD
• Amit Kamta, NP

• Physician Assistant in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.