Individual provider Active NPI

Chand Parveen Parveen Shaik

  • Physical Therapist
  • Corona, NY
National Provider Identifier
1497468284
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
048680 Issued in NY
Practice address
3719 108TH St
Corona, NY 11368-4176
Phone
(718) 406-9032
Fax
(917) 745-1561
NPI assigned
Dec 27, 2022
Last updated
Dec 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 048680 NY Primary

Addresses

Primary practice location

3719 108TH St
Corona, NY 11368-4176

Mailing address

3719 108TH St
Corona, NY 11368-4176
Phone (718) 406-9032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230130000866 NY Practitioner - Physical Therapist in Private Practice 3375914302 Reassigns benefits to 2 organizations
I20250623003975 NJ Practitioner - Physical Therapist in Private Practice 3375914302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

403 B 39TH St
Union City, NJ 07087-4817
Phone (201) 472-8900

Merit-based Incentive Payment System (MIPS)

Final score
6.26 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
20.85

Merit-based Incentive Payment System (MIPS)

Final score
13.75 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
45.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048680NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Moon Rehab PT PC Physical Therapist CurrentSince Jan 9, 2023 Accepting new patients
M El Sayed Physical Therapy PC Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
TBW Acupuncture & Herbs Inc Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
Integrative Acupuncture & Care PC Physical Therapist PastSince Apr 1, 2025 Accepting new patients
Community Physical Therapy of Long Island PC Physical Therapist PastSince Mar 30, 2025 Accepting new patients

Locations

403 39th St
#B
Union City, NJ 07087
Phone (201) 472-8900

3719 108th St
Corona, NY 11368
Phone (516) 388-0797

7402 Grand Ave
Ste 3B
Elmhurst, NY 11373
Phone (917) 369-1017

Organizations & group practices 5

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": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1497468284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 108TH ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684176",
            "telephone_number": "718-406-9032",
            "fax_number": "917-745-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 108TH ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684176",
            "telephone_number": "718-406-9032",
            "fax_number": "917-745-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIK",
        "first_name": "CHAND PARVEEN",
        "middle_name": "PARVEEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.