Individual provider Active NPI

Shamima Akter Nila

  • Internal Medicine Physician
  • Altamont, NY
National Provider Identifier
1508677030
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
60-P133334-01 Issued in NY
Practice address
428 Route 146 FL 1
Altamont, NY 12009-4409
Phone
(051) 886-1514
NPI assigned
Jan 15, 2025
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 60-P133334-01 NY Primary

Addresses

Primary practice location

428 Route 146 FL 1
Altamont, NY 12009-4409

Mailing address

471 Pine St FL 1
Brooklyn, NY 11208-3115
Phone (347) 397-8226

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
I20250204000841 NY Practitioner - Internal Medicine 5799215935 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Services of Northeastern Queens PLLCGroup PAC ID 4587013446, 32 clinicians

Practice addresses (Care Compare)

2749 Linden Blvd
Brooklyn, NY 11208-5110
Phone (718) 277-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60-P133334-01NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Services of Northeastern Queens PLLC Internal Medicine CurrentSince May 15, 2025 Accepting new patients
Mill Basin Medical Health PC Internal Medicine CurrentSince Feb 3, 2025 Accepting new patients
Fresh Meadows Physician Practice PLLC Internal Medicine CurrentSince Jan 20, 2026 Accepting new patients
Peyman Younesi MD PLLC Internal Medicine CurrentSince May 15, 2025 Accepting new patients

Locations

428 State Route 146
Altamont, NY 12009
Phone (518) 861-5141

257 State St
Batavia, NY 14020
Phone (585) 343-1300

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

1583 E 66th St
#1
Brooklyn, NY 11234
Phone (917) 318-4724

2749 Linden Blvd
Brooklyn, NY 11208
Phone (201) 936-9345

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

7810 164th St
Fresh Meadows, NY 11366
Phone (516) 641-8482

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

1 Commons Dr
Lake Katrine, NY 12449
Phone (845) 336-6666

48 Frost Ln
Unit A
Lawrence, NY 11559
Phone (315) 272-0248

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212

Organizations & group practices 4

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": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1508677030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 PINE ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083115",
            "telephone_number": "347-397-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 ROUTE 146 FL 1",
            "city": "ALTAMONT",
            "state": "NY",
            "postal_code": "120094409",
            "telephone_number": "051-886-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILA",
        "first_name": "SHAMIMA",
        "middle_name": "AKTER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "60-P133334-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamont, NY

Sources for this page

Verify at the official NPI Registry.