Organization Active NPI

Noor Medical Care PLLC

  • Obstetrics & Gynecology Physician
  • Dix Hills, NY
National Provider Identifier
1487973228
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
250524 Issued in NY
Legal business name
NOOR MEDICAL CARE PLLC
Practice address
1036 Commack Rd
Dix Hills, NY 11746-8210
Phone
(631) 940-7017
Fax
(631) 940-7018
NPI assigned
May 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Dr. Shehla ShabnamNPI 1730332420
Title
MD
Phone
(631) 940-7017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 250524 NY Primary

Addresses

Primary practice location

1036 Commack Rd
Dix Hills, NY 11746-8210

Mailing address

1036 Commack Rd
Dix Hills, NY 11746-8210
Phone (631) 940-7017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100911000116 NY Part B Supplier - Clinic/Group Practice 9537284757 Receives reassigned benefits from 1 practitioner
Practice locations: Brentwood, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1487973228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 COMMACK RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117468210",
            "telephone_number": "631-940-7017",
            "fax_number": "631-940-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 COMMACK RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117468210",
            "telephone_number": "631-940-7017",
            "fax_number": "631-940-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOOR MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "SHABNAM",
        "authorized_official_first_name": "SHEHLA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-940-7017",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "250524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.