Individual provider Active NPI

Shazia Amar, DPM

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1336164649
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N0060087 Issued in NY
Practice address
196 Prospect Park W
#200
Brooklyn, NY 11215-5747
Phone
(347) 799-1605
Fax
(347) 889-5730
NPI assigned
Jul 13, 2006
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N0060087 NY Primary

Addresses

Primary practice location

196 Prospect Park W
#200
Brooklyn, NY 11215-5747

Mailing address

320 7TH Ave
#135
Brooklyn, NY 11215-4113
Phone (347) 799-1605

Other identifiers 1

IdentifierTypeStateIssuer
02674380MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050325000072 NY Practitioner - Podiatry 5799731485 Reassigns benefits to 3 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maimonides Faculty Practice PlanGroup PAC ID 7012808348, 251 clinicians

Practice addresses (Care Compare)

1401 Newkirk Ave
Brooklyn, NY 11226-6521
Phone (718) 283-8773

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue263
Removal of nail tissue1452
Removal or shaving of skin growth1066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N0060087NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Aug 2, 2021 Accepting new patients
Kings Physician Services, PC CurrentSince Nov 28, 2016 Accepting new patients
Hamid Lalani Medical PLLC CurrentSince Jan 1, 2024 Accepting new patients
Kings Physician Services, PC CurrentSince Nov 28, 2016 Accepting new patients
Gamil Kostandy Physician PC Past Accepting new patients
Ofem Ajah, Physician PC Past Accepting new patients
Artisan Podiatry, PC PastSince Dec 6, 2020 Accepting new patients

Locations

1309 Avenue J
Brooklyn, NY 11230
Phone (718) 677-0101

1401 Newkirk Ave
Brooklyn, NY 11226
Phone (718) 283-1600

1910 Nostrand Ave
Brooklyn, NY 11226
Phone (718) 284-4440

228 Montrose Ave
Brooklyn, NY 11206
Phone (718) 284-7070

4713 Church Ave
Brooklyn, NY 11203
Phone (631) 760-1932

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

7400 18th Ave
Brooklyn, NY 11204
Phone (718) 236-9446

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: shazia.amar.p1@direct.mmc.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1336164649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 7TH AVE",
            "address_2": "#135",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154113",
            "telephone_number": "347-799-1605",
            "fax_number": "347-889-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 PROSPECT PARK W",
            "address_2": "#200",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155747",
            "telephone_number": "347-799-1605",
            "fax_number": "347-889-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAR",
        "first_name": "SHAZIA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N0060087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02674380",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.