Active NPI
Shazia Sami Medicine PC
- Primary Care Clinic/Center
- Richmond Hill, NY
National Provider Identifier
1629203443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 240847
- Legal business name
- SHAZIA SAMI MEDICINE PC
- Practice address
- 11216 Jamaica Ave
Richmond Hill, NY 11418-2451 - Phone
- (718) 849-3338
- Fax
- (718) 849-3166
- NPI assigned
- May 22, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shazia Andleeb Sami, M.D
- Title
- Director
- Phone
- (631) 805-3283
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 240847 | NY | Primary |
Addresses
Primary practice location
11216 Jamaica Ave
Richmond Hill, NY 11418-2451
Mailing address
112-16 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 849-3338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8550 118th St
Kew Gardens, NY 11415
Phone (718) 441-4363
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Kew Gardens, NY
- NPI 1902992951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242950400000",
"number": "1629203443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112-16 JAMAICA AVE",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "11418",
"telephone_number": "718-849-3338",
"fax_number": "718-849-3166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11216 JAMAICA AVE",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114182451",
"telephone_number": "718-849-3338",
"fax_number": "718-849-3166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAZIA SAMI MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-22",
"last_updated": "2009-05-22",
"status": "A",
"authorized_official_last_name": "SAMI",
"authorized_official_first_name": "SHAZIA",
"authorized_official_middle_name": "ANDLEEB",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "631-805-3283",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NY",
"license": "240847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.