S&S Medical, P.C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

222749-1 Issued in NY

Legal business name

S&S MEDICAL, P.C

Practice address

70-62 Kissena Blvd
Flushing, NY 11367

Phone

(718) 544-0565

Fax

(718) 544-0569

NPI assigned

Mar 25, 2011

Organization subpart

Yes

Parent organization

S&S MEDICAL P.CAs reported in NPPES

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

Authorized official

Name

Dr. Shazia A Sami, M.D

Title

Physician

Phone

(163) 185-3283

Specialties & licenses 2

Addresses

Other identifiers 2

Part of

SS Medical PC

Locations

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1487953717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70-62 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11367",
            "telephone_number": "718-544-0565",
            "fax_number": "718-544-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70-62 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11367",
            "telephone_number": "718-544-0565",
            "fax_number": "718-544-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&S MEDICAL, P.C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "S&S MEDICAL P.C",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "SAMI",
        "authorized_official_first_name": "SHAZIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "163-185-3283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "240847",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "222749-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02838186",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02499585",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Mar 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.