Organization Active NPI

Shahem MD, PC.

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1316270333
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
224199 Issued in NY
Legal business name
SHAHEM MD, PC.
Practice address
654 84TH St
Brooklyn, NY 11228-2820
Phone
(718) 921-1661
Fax
(813) 337-0360
NPI assigned
Sep 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Authorized official

Name
Dr. Daher Shahem, M.D.
Title
Owner
Phone
(718) 921-1661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 224199 NY Primary

Addresses

Primary practice location

654 84TH St
Brooklyn, NY 11228-2820

Mailing address

654 84TH St
Brooklyn, NY 11228-2820
Phone (718) 921-1661

Other identifiers 1

IdentifierTypeStateIssuer
02239870MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1316270333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 84TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282820",
            "telephone_number": "718-921-1661",
            "fax_number": "813-337-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 84TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282820",
            "telephone_number": "718-921-1661",
            "fax_number": "813-337-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHEM MD, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "SHAHEM",
        "authorized_official_first_name": "DAHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-921-1661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "224199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02239870",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.