Individual provider Active NPI

Zainab Shaheen, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Long Island City, NY
National Provider Identifier
1518344712
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
301777 Issued in NY
Practice address
4604 31St Ave
Long Island City, NY 11103-1842
Phone
(718) 721-1500
Fax
(718) 579-4836
NPI assigned
Apr 27, 2015
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 301777 NY Primary

Addresses

Primary practice location

4604 31St Ave
Long Island City, NY 11103-1842

Mailing address

4604 31St Ave
Long Island City, NY 11103-1842
Phone (718) 721-1500

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
I20210901002227 NY Practitioner - Endocrinology 8729484670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2520 30TH Ave
Astoria, NY 11102-2448
Phone (718) 808-7777

3160 21St St
Long Island City, NY 11106-4520
Phone (718) 808-7325

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
301777NYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Sep 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 7, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 7, 2021 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Endocrinology, Diabetes & Metabolism CurrentSince Sep 1, 2021 Accepting new patients

Locations

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

2520 30th Ave
Long Island City, NY 11102
Phone (718) 267-4230

3160 21st St
Long Island City, NY 11106
Phone (718) 808-7300

4604 31st Ave
Long Island City, NY 11103
Phone (718) 545-2100

10114 Liberty Ave
#13292
Ozone Park, NY 11417
Phone (718) 487-3330

9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1518344712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 31ST AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111031842",
            "telephone_number": "718-721-1500",
            "fax_number": "718-579-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 31ST AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111031842",
            "telephone_number": "718-721-1500",
            "fax_number": "718-579-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEEN",
        "first_name": "ZAINAB",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "301777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.