Shafi Wani,M.D.,P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

111748 Issued in NY

Legal business name

SHAFI WANI,M.D.,P.C.

Practice address

2500 Nesconset Hwy
Building 15H
Stony Brook, NY 11790-2555

Phone

(631) 689-3005

Fax

(631) 689-1750

NPI assigned

Dec 23, 2010

Last updated

Dec 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shafi Wani, M.D.NPI 1114920436

Title

Owner

Phone

(631) 689-3005

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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.

• Shafi Wani, M.D.

  • Specialist
  • Stony Brook, NY
  • NPI 1114920436
  Medicare reassignment NPD Authorized official
• Lisa Trentino, PA

  • Physician Assistant
  • West Islip, NY
  • NPI 1003385352
  Medicare reassignment
• William Richard Gray, PA

  • Medical Physician Assistant
  • Bay Shore, NY
  • NPI 1649395229
  NPD (past)
• Nicole Hernandez, RPA-C

  • Physician Assistant
  • Stony Brook, NY
  • NPI 1275807448
  NPD (past)

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1568766095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BUILDING 15H",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-689-3005",
            "fax_number": "631-689-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BUILDING 15H",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-689-3005",
            "fax_number": "631-689-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFI WANI,M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-23",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "WANI",
        "authorized_official_first_name": "SHAFI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-689-3005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "111748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00201818",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Seyfert
• Ariana Leila Shaari, MD
• Duncan Shabb, M.D.
• Christopher M Shackles, D.O., MPH
• Magdy Shawky Shady, M.D.
• Aadit Shah, MD
• Apurva J. Shah, M.D.
• Ashkin Shah
• Kulsoom Shah, M.D
• Neal Shah, MD

• Specialist in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.