Individual provider Active NPI

Shakaibullah Sharief, PA-C

  • Physician Assistant
  • Floral Park, NY
National Provider Identifier
1316620644
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
238 Tulip Ave
Floral Park, NY 11001-2800
Phone
(516) 512-0228
NPI assigned
Aug 11, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

238 Tulip Ave
Floral Park, NY 11001-2800

Mailing address

238 Tulip Ave
Floral Park, NY 11001-2800
Phone (516) 512-0228

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240424003414 NY Practitioner - Physician Assistant 9133569171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Priyadarshan Bajpayi MD PCGroup PAC ID 6608118179, 13 clinicians

Practice addresses (Care Compare)

5550 Merrick Rd
Massapequa, NY 11758-6238
Phone (631) 673-3233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1316620644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 TULIP AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012800",
            "telephone_number": "516-512-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 TULIP AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012800",
            "telephone_number": "516-512-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIEF",
        "first_name": "SHAKAIBULLAH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

Verify at the official NPI Registry.