Organization Active NPI

Shawon Ahmed Physician Assistant PLLC

  • Surgical Physician Assistant
  • Astoria, NY
National Provider Identifier
1275437162
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
SHAWON AHMED PHYSICIAN ASSISTANT PLLC
Practice address
3608 29TH St Apt 4L
Astoria, NY 11106-3247
Phone
(917) 607-7091
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Shawon Ahmed, PA
Title
Physician Assistant/Owner
Phone
(917) 607-7091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X NU Primary

Addresses

Primary practice location

3608 29TH St Apt 4L
Astoria, NY 11106-3247

Mailing address

3608 29TH St Apt 4L
Astoria, NY 11106-3247

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1275437162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 29TH ST APT 4L",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111063247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 29TH ST APT 4L",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111063247",
            "telephone_number": "917-607-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWON AHMED PHYSICIAN ASSISTANT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SHAWON",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT/OWNER",
        "authorized_official_telephone_number": "917-607-7091",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.