Shayma R Mazumder, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

P124108 Issued in NY

Practice address

15 Hilton Ave
Garden City, NY 11530-4400

Phone

(516) 417-8366

NPI assigned

Oct 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Farzana Matin, M.D., P.C.

  • Internal Medicine Physician
  • Elmhurst, NY
  • NPI 1699280453
  NPD

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1609658780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8835 164TH ST APT 3EN",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324041",
            "telephone_number": "917-468-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HILTON AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304400",
            "telephone_number": "516-417-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUMDER",
        "first_name": "SHAYMA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P124108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Maynard
• Michael Rudolph Maynard, LMSW
• Michael Glasser Mayrsohn, DPT
• Robert James Mazaroski, PA
• Naomi Mazlin
• Michele Ann Mazzeo, MA, CCC-SLP
• Mazzotta Nutrition PLLC
• Renee Mazzotta, RDN, CDN
• Bridget Ann McAuley, ANP
• Deborah McBane, DO

• Internal Medicine Physician in Garden City, NY
• Providers in Garden City, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.