Stewart Shabanaj, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

063995 Issued in NY

Practice address

6 Batavia City Ctr
Batavia, NY 14020-2107

Phone

(585) 479-3103

NPI assigned

Mar 8, 2023

Last updated

Sep 6, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Julie a Gum DMD PC

  dba Green Street Dental Associates

  • Dentist
  • Nazareth, PA
  • NPI 1689116295
  NPD (past)

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1366142358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 TAMARK CT",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142271242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BATAVIA CITY CTR",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202107",
            "telephone_number": "585-479-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABANAJ",
        "first_name": "STEWART",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-08",
        "last_updated": "2026-09-06",
        "certification_date": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "063995",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS045120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Susan Sczudlo, MS CCC SLP
• Yanet Segura, RN
• Randall Mark Seigel, LCSW-R
• Jessica Le Severson, MD
• Nicole Seward, MS SLP
• Rikin Shah, D.O.
• Nashiha Shahid, MD
• Matthew Sheffield
• Jewel Shenck, INTERN
• Karen K Sherwood, PT

• Dentist in Batavia, NY
• Providers in Batavia, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.