Individual provider Active NPI

Shan Hawramee, PA-C

  • Physician Assistant
  • North Tonawanda, NY
National Provider Identifier
1356824007
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
022145 Issued in NY
Practice address
43 Niagara St
North Tonawanda, NY 14120-6115
Phone
(716) 690-2001
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 022145 NY Primary

Addresses

Primary practice location

43 Niagara St
North Tonawanda, NY 14120-6115

Mailing address

43 Niagara St
North Tonawanda, NY 14120-6115
Phone (716) 690-2001

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191220000327 NY Practitioner - Physician Assistant 0648604900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

1150 3Rd Ave
New York, NY 10065-5913
Phone (212) 933-0007

14 W 14TH St
New York, NY 10011-7524
Phone (212) 390-0558

1500 Lexington Ave
New York, NY 10029-7349
Phone (212) 710-1065

2025 Broadway
New York, NY 10023-5016
Phone (212) 390-8812

216 E 14TH St
New York, NY 10003-4105

2398 Broadway
New York, NY 10024-1703
Phone (212) 721-2111

315 W 57TH St
New York, NY 10019-3158
Phone (212) 315-2330

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

3556 Broadway
New York, NY 10031-3202
Phone (212) 271-4364

356 W 125TH St
New York, NY 10027-4820
Phone (646) 647-1267

37 W 23Rd St
New York, NY 10010-5389
Phone (646) 596-9267

400 W 23Rd St
New York, NY 10011-2122
Phone (929) 476-0462

561 3Rd Ave
New York, NY 10016-3109
Phone (212) 729-4668

80 W 125TH St
New York, NY 10027-4502
Phone (212) 609-2545

944 2ND Ave
New York, NY 10022-7805
Phone (212) 271-4864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Nov 20, 2023 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Nov 20, 2023 Accepting new patients
Kaleida Health PastSince Jan 19, 2020 Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

Interoperability endpoints

  • Direct secure messaging: shan.hawramee.1@2983.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1356824007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 NIAGARA ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141206115",
            "telephone_number": "716-690-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 NIAGARA ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141206115",
            "telephone_number": "716-690-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWRAMEE",
        "first_name": "SHAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "022145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.