Shaun Sadick Ahmed, PA
Individual provider Active NPI Physician Assistant · West Islip, NY
NPI 1467477752 · NPPES record last updated May 29, 2008
Key facts
- NPI
- 1467477752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 009754 (NY)
- Practice address
- 1000 Montauk Hwy
West Islip, NY 11795-4927 - Phone
- (631) 376-3000
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mill Basin Medical Health PC
Practice addresses (Care Compare)
15 Saint Pauls PL
Great Neck, NY 11021-2636
Phone (646) 296-1508
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Emergency Medical Services, PC | Past | Accepting new patients | |
| Good Samaritan Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 009754 | NY | Yes |
Addresses
Primary practice location
1000 Montauk Hwy
West Islip, NY 11795-4927
Mailing address
PO Box 6010
Hauppauge, NY 11788-9010
Phone (631) 232-4000
Other providers in West Islip, NY
- Samantha Ahearn
- Michele Ahlers
- Fahim Shan Ahmed
- Nabras Ahmed
- Shan Ahmed
- Opemipo Oluwatimilehin Akin-Adejimi
- Sarah Saad Kadhim Al Anssari
- Eileen Alessandro
- Christopher Robert Alexander
- Ashley Alfaro
All providers in West Islip, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.