Organization Active NPI

Alan Sheyman MD PLLC

  • Ophthalmology Physician
  • Forest Hills, NY
National Provider Identifier
1578045530
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ALAN SHEYMAN MD PLLC
Practice address
11045 Queens Blvd Ste 115
Forest Hills, NY 11375-5519
Phone
(248) 835-9455
Fax
(858) 400-6867
NPI assigned
Sep 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Alan Sheyman, MDNPI 1659663268
Title
Owner
Phone
(248) 835-9455

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

11045 Queens Blvd Ste 115
Forest Hills, NY 11375-5519

Mailing address

11045 Queens Blvd Ste 115
Forest Hills, NY 11375-5519
Phone (248) 835-9455

Other practice location 1

140 E 80th St
New York, NY 10075-0306
Phone (248) 835-9455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181001001818 NY Part B Supplier - Clinic/Group Practice 5698026615 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory

Locations

10740 Queens Blvd
Ste 202
Forest Hills, NY 11375
Phone (248) 835-9455

11045 Queens Blvd
Ste 115
Forest Hills, NY 11375
Phone (646) 630-3525

Interoperability endpoints

  • Direct secure messaging: asheyman@nyer.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1578045530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11045 QUEENS BLVD STE 115",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755519",
            "telephone_number": "248-835-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11045 QUEENS BLVD STE 115",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755519",
            "telephone_number": "248-835-9455",
            "fax_number": "858-400-6867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 E 80th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100750306",
            "country_code": "US",
            "telephone_number": "248-835-9455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALAN SHEYMAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "SHEYMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-835-9455",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.