Individual provider Active NPI

Shahid W Mian

  • Orthopaedic Surgery Physician
  • New York, NY
National Provider Identifier
1427197755
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
157611 Issued in NY
Practice address
893 Park Ave
New York, NY 10021-0304
Phone
(212) 734-3344
Fax
(212) 734-4037
NPI assigned
Feb 5, 2007
Last updated
May 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 157611 NY Primary

Addresses

Primary practice location

893 Park Ave
New York, NY 10021-0304

Mailing address

893 Park Ave
New York, NY 10075-0368
Phone (212) 734-3344

Other practice location 1

4546 Parsons Blvd
Flushing, NY 11355-2219
Phone (917) 348-4443

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
I20031223000286 NY Practitioner - Orthopedic Surgery 3375441702 Practice locations: Flushing, NY

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shahid Mian M.D., P.C. Orthopaedic Surgery CurrentSince May 24, 2011 Accepting new patients

Locations

444 Market St
Ste 5
Saddle Brook, NJ 07663
Phone (201) 843-8300

4546 Parsons Blvd
Flushing, NY 11355
Phone (718) 939-8488

893 Park Ave
New York, NY 10075
Phone (212) 734-3344

Interoperability endpoints

  • Direct secure messaging: smian67205@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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1427197755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750368",
            "telephone_number": "212-734-3344",
            "fax_number": "212-734-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210304",
            "telephone_number": "212-734-3344",
            "fax_number": "212-734-4037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4546 Parsons Blvd",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113552219",
            "country_code": "US",
            "telephone_number": "917-348-4443",
            "fax_number": "718-939-7849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIAN",
        "first_name": "SHAHID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "157611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.