Organization Active NPI

Nys Physician Assistant Consulting PC

  • Pain Clinic/Center
  • Floral Park, NY
National Provider Identifier
1558956516
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
NYS PHYSICIAN ASSISTANT CONSULTING PC
Practice address
121 Cisney Ave
Floral Park, NY 11001-3214
Phone
(631) 831-2313
NPI assigned
Mar 2, 2021
Last updated
Mar 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Authorized official

Name
Yahya Shah, PANPI 1538677059
Title
Physician Assistant
Phone
(631) 831-2313

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
Pain Clinic/Center 261QP3300X NU Primary

Addresses

Primary practice location

121 Cisney Ave
Floral Park, NY 11001-3214

Mailing address

121 Cisney Ave
Floral Park, NY 11001-3214
Phone (631) 831-2313

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1558956516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CISNEY AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110013214",
            "telephone_number": "631-831-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CISNEY AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110013214",
            "telephone_number": "631-831-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYS PHYSICIAN ASSISTANT CONSULTING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "YAHYA",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "631-831-2313",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.