Individual provider Active NPI

Tuzeen Shakir

  • Psychiatry Physician
  • Staten Island, NY
National Provider Identifier
1275758294
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
268610 Issued in NY
Practice address
31 New Dorp LN
Staten Island, NY 10306-2351
Phone
(917) 528-0385
Fax
(718) 305-1680
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 268610 NY Primary

Addresses

Primary practice location

31 New Dorp LN
Staten Island, NY 10306-2351

Mailing address

425 Willowbrook Rd
Staten Island, NY 10314-1965
Phone (917) 596-0451

Other practice location 1

998 Crooked Hill Rd
West Brentwood, NY 11717-1043
Phone (631) 761-3500

Other identifiers 1

IdentifierTypeStateIssuer
02249154MedicaidNY

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
I20130218000038 NY Practitioner - Psychiatry 4981858131 Reassigns benefits to 2 organizations
Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

31 New Dorp LN
Staten Island, NY 10306-2351
Phone (917) 596-0451

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Staten Island Medical & Behavioral PC Psychiatry CurrentSince Apr 6, 2018 Accepting new patients
Alpha Neurology,PC CurrentSince Jun 30, 2018 Accepting new patients
Clinical Management Consultants Psychiatry Past Accepting new patients
Richmond Psychological Services, P.C. Past Accepting new patients

Locations

27 New Dorp Ln
Staten Island, NY 10306
Phone (718) 667-3800

31 New Dorp Ln
Staten Island, NY 10306
Phone (718) 370-3500

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1275758294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 WILLOWBROOK RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141965",
            "telephone_number": "917-596-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062351",
            "telephone_number": "917-528-0385",
            "fax_number": "718-305-1680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "998 Crooked Hill Rd",
            "address_purpose": "LOCATION",
            "city": "West Brentwood",
            "state": "NY",
            "postal_code": "117171043",
            "country_code": "US",
            "telephone_number": "631-761-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAKIR",
        "first_name": "TUZEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "268610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02249154",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.