Shalena Islam MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SHALENA ISLAM MD PLLC

Practice address

14242 Booth Memorial Ave
Flushing, NY 11355-5387

Phone

(917) 932-2315

Fax

(917) 268-9771

NPI assigned

Sep 23, 2022

Organization subpart

No

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

Authorized official

Name

Mehtab Abbasi

Title

Office Manager

Phone

(917) 336-8422

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shalena Islam, MD

  • Family Medicine Physician
  • Flushing, NY
  • NPI 1386120095

  Single Specialty

  Medicare reassignment NPD
• Tahera Aktar, PA

  • Physician Assistant
  • Forest Hills, NY
  • NPI 1730898818
  Medicare reassignment

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1386367308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14242 BOOTH MEMORIAL AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555387",
            "telephone_number": "917-932-2315",
            "fax_number": "917-268-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14242 BOOTH MEMORIAL AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555387",
            "telephone_number": "917-932-2315",
            "fax_number": "917-268-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALENA ISLAM MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "ABBASI",
        "authorized_official_first_name": "MEHTAB",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "917-336-8422"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rejvi Shaju, PA-C
• Jonathan Shakibkhou, MD
• Javeria Shakil
• Dana Shalamov, RPH
• Daniella Shalamova
• Diana Yocheved Shalev
• Shalom Pharmacy
• Sonya Shamalov, MS, RDN
• Andrew Shanes, DO
• Brandon Yee Tao Shang

• Family Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.