Individual provider Active NPI

Shameela Anisa Chorny, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1386734390
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
232967 Issued in NY
Practice address
1250 57TH St
Brooklyn, NY 11219-4537
Phone
(718) 283-5700
Fax
(718) 283-5701
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 232967 NY Primary

Addresses

Primary practice location

1250 57TH St
Brooklyn, NY 11219-4537

Mailing address

1250 57TH St
Brooklyn, NY 11219-4537
Phone (718) 283-5700

Other names 1

  • Dr. Shameela Anisa Ali Former name

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
I20041105000125 NY Practitioner - Internal Medicine 0143283705 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

701 N Broadway
Sleepy Hollow, NY 10591-1020
Phone (914) 366-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Maimonides Primary Care FPP Internal Medicine CurrentSince Jul 3, 2004 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Nov 26, 2018 Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

1250 57th St
Brooklyn, NY 11219
Phone (718) 283-5700

300 Community Dr
Manhasset, NY 11030

777 N Broadway
Ste 305
Sleepy Hollow, NY 10591
Phone (914) 366-6120

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

200 S Broadway
Ste 2-5
Tarrytown, NY 10591
Phone (914) 269-1790

972 Brush Hollow Rd
Fl 2
Westbury, NY 11590
Phone (718) 335-0628

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: schorny66702@northwell.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1386734390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 57TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194537",
            "telephone_number": "718-283-5700",
            "fax_number": "718-283-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 57TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194537",
            "telephone_number": "718-283-5700",
            "fax_number": "718-283-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHORNY",
        "first_name": "SHAMEELA",
        "middle_name": "ANISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "232967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAMEELA",
            "last_name": "ALI",
            "middle_name": "ANISA",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.