Organization Active NPI

Universal Family Medical Care, PC

  • Family Medicine Physician
  • Bay Shore, NY
National Provider Identifier
1346420817
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
223080 Issued in NY
Legal business name
UNIVERSAL FAMILY MEDICAL CARE, PC
Practice address
340 E Main St
Bay Shore, NY 11706-8404
Phone
(631) 206-2901
Fax
(631) 206-0168
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Dr. Maan M Shikara, MDNPI 1235255456
Title
Practicioner
Phone
(631) 206-2901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 223080 NY Primary

Addresses

Primary practice location

340 E Main St
Bay Shore, NY 11706-8404

Mailing address

340 E Main St
Bay Shore, NY 11706-8404
Phone (631) 206-2901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071219000832 NY Part B Supplier - Clinic/Group Practice 3375434897 Receives reassigned benefits from 5 practitioners
Practice locations: Bay Shore, NY; Patchogue, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2016948Universal Family Medical Care PC340 East Main Street, Bay Shore, NY 11706Certificate of waiverNov 29, 2026

National Provider Directory

National Provider Directory

Locations

340 E Main St
Bay Shore, NY 11706
Phone (631) 206-2901

629 Medford Ave
Ste 1
Patchogue, NY 11772
Phone (631) 627-8602

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1346420817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068404",
            "telephone_number": "631-206-2901",
            "fax_number": "631-206-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068404",
            "telephone_number": "631-206-2901",
            "fax_number": "631-206-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL FAMILY MEDICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "SHIKARA",
        "authorized_official_first_name": "MAAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICIONER",
        "authorized_official_telephone_number": "631-206-2901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "223080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.