Individual provider Active NPI

Shabnamzehra Bhojani, M.D

  • Child & Adolescent Psychiatry Physician
  • New York, NY
National Provider Identifier
1366706996
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
265482 Issued in NY
Practice address
622 W 168TH St PH 130
New York, NY 10032-3720
Phone
(718) 790-1140
Fax
(718) 880-1990
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A162461 CA
Child & Adolescent Psychiatry Physician 2084P0804X 265482 NY Primary

Addresses

Primary practice location

622 W 168TH St PH 130
New York, NY 10032-3720

Mailing address

11011 Queens Blvd Ste 1CC
Forest Hills, NY 11375-5438
Phone (718) 790-1140

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130815000004 NY Practitioner - Psychiatry 3476795881 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ontario CountyGroup PAC ID 3779482252, 10 clinicians

Practice addresses (Care Compare)

3019 County Complex Dr
Canandaigua, NY 14424-9505
Phone (585) 396-4552

Hospital & facility affiliations

  • F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A162461CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Nassau Guidance & Counseling Services, Inc. Psychiatry CurrentSince Dec 10, 2022 Accepting new patients
AIDS Center of Queens County, Inc. CurrentSince Jan 7, 2017 Accepting new patients
Eprine Community Services Ny CurrentSince Feb 16, 2024 Accepting new patients
Good Health Medical Care PLLC PastSince Feb 16, 2024 Accepting new patients

Locations

1650 Eastern Pkwy
Brooklyn, NY 11233
Phone (718) 255-5946

1650 Eastern Pkwy
Ste 400
Brooklyn, NY 11233

950 S Oyster Bay Rd
Hicksville, NY 11801

16121 Jamaica Ave
Jamaica, NY 11432
Phone (718) 896-2500

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1366706996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 QUEENS BLVD STE 1CC",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755438",
            "telephone_number": "718-790-1140",
            "fax_number": "718-880-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST PH 130",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "718-790-1140",
            "fax_number": "718-880-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHOJANI",
        "first_name": "SHABNAMZEHRA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A162461",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "265482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.