Active NPI
Shahnaz Malekan, M.D.
- Psychiatry Physician
- Great Neck, NY
National Provider Identifier
1568608271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 248810
- Practice address
- 10 Franklin Rd
Great Neck, NY 11024-2010 - Phone
- (516) 220-8753
- NPI assigned
- Dec 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 248810 | NY | Primary |
Addresses
Primary practice location
10 Franklin Rd
Great Neck, NY 11024-2010
Mailing address
29 Barstow Rd
Great Neck, NY 11021-2209
Phone (516) 220-8753
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091015000326 | NY | Practitioner - Psychiatry | 4486790847 | Practice locations: Great Neck, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
29 Barstow Rd
Suite 304
Great Neck, NY 11021-2209
Phone (516) 220-8753
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248810 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275004800000",
"number": "1568608271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 BARSTOW RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110212209",
"telephone_number": "516-220-8753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 FRANKLIN RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110242010",
"telephone_number": "516-220-8753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALEKAN",
"first_name": "SHAHNAZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-30",
"last_updated": "2010-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "248810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.