Active NPI
Sheelon Aghili, PA-C
- Physician Assistant
- Brooklyn, NY
National Provider Identifier
1396366555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 025178
- Practice address
- 14 Dekalb Ave
Brooklyn, NY 11201-5311 - Phone
- (718) 875-4848
- NPI assigned
- Apr 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110007170 | VA | |
| Physician Assistant | 363A00000X | 025178 | NY | Primary |
Addresses
Primary practice location
14 Dekalb Ave
Brooklyn, NY 11201-5311
Mailing address
14 Dekalb Ave FL 2
Brooklyn, NY 11201-5311
Phone (718) 875-4848
Other practice location 1
5801 Hampton Forest Way
Fairfax, VA 22030-7254
Phone (571) 334-2361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025178 | NY | MD | Physician Assistant |
| 0110007170 | VA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PBGS, LLC | Past | Accepting new patients | |
| Manhattan Beach OBGYN, P.C. | Past | Accepting new patients | |
| Professional Gynecological Services, PC | Past | Accepting new patients |
Interoperability endpoints
- sheelon.aghili.1@24989.direct.athenahealth.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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Brooklyn, NY
- NPI 1598924458
-
- Ambulatory Surgical Clinic/Center
- Brooklyn, NY
- NPI 1164848453
-
- Anesthesiology Physician
- Bklyn, NY
- NPI 1184847410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1396366555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 DEKALB AVE FL 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015311",
"telephone_number": "718-875-4848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 DEKALB AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015311",
"telephone_number": "718-875-4848"
}
],
"practiceLocations": [
{
"address_1": "5801 Hampton Forest Way",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220307254",
"country_code": "US",
"telephone_number": "571-334-2361",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGHILI",
"first_name": "SHEELON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-29",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110007170",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "025178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.