Individual provider Active NPI

Iqra Shahid

  • Physician Assistant
  • Bronx, NY
National Provider Identifier
1548613938
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
019885 Issued in NY
Practice address
111 E 210TH St
Bronx, NY 10467-2401
Phone
(718) 920-4321
NPI assigned
Jul 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019885 NY Primary

Addresses

Primary practice location

111 E 210TH St
Bronx, NY 10467-2401

Mailing address

5 Whitman Ave
Jersey City, NJ 07306-6513
Phone (201) 658-9729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161020001900 NY Practitioner - Physician Assistant 8123306453 Reassigns benefits to 2 organizations
I20210802000011 NJ Practitioner - Physician Assistant 8123306453 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Jersey Urgent CareGroup PAC ID 7618114323, 78 clinicians
BP Immediate Medical Care, PCGroup PAC ID 8628295581, 25 clinicians
Family MD LLCGroup PAC ID 9234525197, 4 clinicians

Practice addresses (Care Compare)

298 Applegarth Rd
Suite B
Monroe Township, NJ 08831-3822
Phone (609) 409-0600

3808 14TH Ave
Brooklyn, NY 11218-3610
Phone (718) 972-2424

393 Mulberry St
Suite 203
Newark, NJ 07102-3417
Phone (201) 733-9222

420 Kent Ave
Brooklyn, NY 11249-5601
Phone (718) 333-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
019885NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family MD LLC CurrentSince Mar 6, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Aug 11, 2016 Accepting new patients
Montefiore Medical Center CurrentSince Aug 11, 2016 Accepting new patients
Central Jersey Urgent Care CurrentSince Jul 13, 2025 Accepting new patients
Central Jersey Urgent Care CurrentSince Jul 13, 2025 Accepting new patients
Am PM Primary Care Past Accepting new patients
Montefiore Medical Center Past Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients

Locations

298 Applegarth Rd
Ste B
Monroe Township, NJ 08831
Phone (609) 409-0600

393 Mulberry St
Ste 203
Newark, NJ 07102
Phone (201) 733-9222

731 State Route 35
Unit G
Ocean, NJ 07712
Phone (732) 455-8444

111 E 210th St
Bronx, NY 10467

Interoperability endpoints

  • Direct secure messaging: iqra.shahid.1@23060.direct.athenahealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1548613938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WHITMAN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073066513",
            "telephone_number": "201-658-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-920-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHID",
        "first_name": "IQRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.