Active NPI
Asthma and Lung Care PLLC
- Pulmonary Disease Physician
- Patchogue, NY
National Provider Identifier
1356555205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 1665381
- Legal business name
- ASTHMA AND LUNG CARE PLLC
- Practice address
- 90 Medford Ave
Patchogue, NY 11772-1202 - Phone
- (631) 758-5864
- Fax
- (631) 654-2024
- NPI assigned
- May 10, 2007
- Organization subpart
- Yes
- Parent organization
- ASTHMA AND LUNG CARE PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shahin Firoz Shaikh, MD
- Title
- Director
- Phone
- (631) 758-5864
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 1665381 | NY | Primary |
Addresses
Primary practice location
90 Medford Ave
Patchogue, NY 11772-1202
Mailing address
90 Medford Ave
Patchogue, NY 11772
Phone (631) 758-5864
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A100001659 | Other | NY | MEDICARE |
| 01275910 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Asthma and Lung Care PLLC
Locations
76 Southaven Ave
Ste 2
Medford, NY 11763
Phone (631) 343-2024
90 Medford Ave
Patchogue, NY 11772
Phone (631) 758-5864
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Patchogue, NY
- NPI 1497840458
-
- Adult Health Nurse Practitioner
- Holtsville, NY
- NPI 1134434129
-
- Physical Therapist
- Moorestown, NJ
- NPI 1063802528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700006400000",
"number": "1356555205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 MEDFORD AVE",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "11772",
"telephone_number": "631-758-5864",
"fax_number": "631-654-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 MEDFORD AVE",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117721202",
"telephone_number": "631-758-5864",
"fax_number": "631-654-2024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASTHMA AND LUNG CARE PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ASTHMA AND LUNG CARE PLLC",
"enumeration_date": "2007-05-10",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A",
"authorized_official_last_name": "SHAIKH",
"authorized_official_first_name": "SHAHIN",
"authorized_official_middle_name": "FIROZ",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "631-758-5864",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "1665381",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "A100001659",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01275910",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.