Organization Active NPI

Asthma and Lung Care PLLC

  • Pulmonary Disease Physician
  • Patchogue, NY
National Provider Identifier
1356555205
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
1665381 Issued in NY
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 PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Shahin Firoz Shaikh, MDNPI 1497840458
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)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
A100001659OtherNYMEDICARE
01275910MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090805000632 NY Part B Supplier - Clinic/Group Practice 2668525841 Receives reassigned benefits from 1 practitioner
Practice locations: Patchogue, NY

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.

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.

Verify at the official NPI Registry.