Organization Active NPI

Shariyar Hadi DO PC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1619206380
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
223326-1 Issued in NY
Legal business name
SHARIYAR HADI DO PC
Practice address
1893 Eastern Pkwy
Brooklyn, NY 11233-3440
Phone
(718) 385-7373
Fax
(718) 385-4759
NPI assigned
Dec 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Authorized official

Name
Dr. Shariyar Shahana Hadi, D.O.NPI 1316058050
Title
Owner
Phone
(718) 385-7373

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 223326-1 NY Primary

Addresses

Primary practice location

1893 Eastern Pkwy
Brooklyn, NY 11233-3440

Mailing address

54 Felicia CT
Plainview, NY 11803-5731
Phone (516) 822-2015

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091210000584 NY Part B Supplier - Clinic/Group Practice 9638219371 Receives reassigned benefits from 5 practitioners
Practice locations: Brooklyn, NY; Hempstead, NY; Long Beach, NY; Plainview, NY

National Provider Directory

National Provider Directory

Locations

757 Lincoln Blvd
Long Beach, NY 11561
Phone (516) 379-1495

875 Old Country Rd
#151
Plainview, NY 11803
Phone (516) 681-0202

875 Old Country Rd
Ste 302
Plainview, NY 11803
Phone (516) 622-6330

Practitioners & affiliated clinicians

Practitioners 8

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": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1619206380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 FELICIA CT",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035731",
            "telephone_number": "516-822-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112333440",
            "telephone_number": "718-385-7373",
            "fax_number": "718-385-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARIYAR HADI DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "HADI",
        "authorized_official_first_name": "SHARIYAR",
        "authorized_official_middle_name": "SHAHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-385-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "223326-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.