Active NPI
Shab Benz, PA
- Physician Assistant
- Warwick, NY
National Provider Identifier
1316969397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 011573
- Practice address
- 20 Grand St
3Rd FL
Warwick, NY 10990-1035 - Phone
- (845) 987-3906
- Fax
- (845) 987-5979
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 25MP00150100 | NJ | |
| Physician Assistant | 363A00000X | 011573 | NY | Primary |
Addresses
Primary practice location
20 Grand St
3Rd FL
Warwick, NY 10990-1035
Mailing address
20 Grand St FL 3
Warwick, NY 10990-1035
Phone (845) 368-0330
Other names 1
- Shab Naini
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070412000094 | NY | Practitioner - Physician Assistant | 8224033386 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bon Secours Charity Health System Medical Group, P.C.
Practice addresses (Care Compare)
20 Grand St
FL 3
Warwick, NY 10990-1035
Phone (845) 987-3906
Hospital & facility affiliations
- Good Samaritan Hospital of Suffern
- St Anthony Community Hospital
- Garnet Health Medical Center Catskills
- Garnet Health Medical Center
- Bon Secours Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.73 of 100
- Quality
- 87.82
- Promoting interoperability
- 92
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00150100 | NJ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Cardiology Consultants, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Warwick, NY
- NPI 1487694345
NY
-
- Cardiovascular Disease Physician
- Suffern, NY
- NPI 1356387401
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1316969397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 GRAND ST FL 3",
"city": "WARWICK",
"state": "NY",
"postal_code": "109901035",
"telephone_number": "845-368-0330",
"fax_number": "845-987-5979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 GRAND ST",
"address_2": "3RD FL",
"city": "WARWICK",
"state": "NY",
"postal_code": "109901035",
"telephone_number": "845-987-3906",
"fax_number": "845-987-5979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENZ",
"first_name": "SHAB",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NJ",
"license": "25MP00150100",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "011573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHAB",
"last_name": "NAINI",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Warwick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.