Shafie Arif, M.D.
Individual provider Active NPI Surgery Physician · Roslyn, NY
NPI 1295884567 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295884567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 132907 (NY)
- Practice address
- 100 Port Washington Blvd
Roslyn, NY 11576-1353 - Phone
- (516) 629-2484
- Fax
- (516) 629-2027
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Momentum Medical Services, PC. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 132907 | NY | Yes |
Addresses
Primary practice location
100 Port Washington Blvd
Roslyn, NY 11576-1353
Mailing address
PO Box 1529
Port Washington, NY 11050-7529
Phone (516) 629-2484
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01561513 | Medicaid | NY |
Other providers in Roslyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.