Organization Active NPI

Shazia Sami Medicine PC

  • Primary Care Clinic/Center
  • Richmond Hill, NY
National Provider Identifier
1629203443
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
240847 Issued in NY
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

Updated by the provider on May 22, 2009

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

Authorized official

Name
Shazia Andleeb Sami, M.DNPI 1902992951
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20090910000175 NY Part B Supplier - Clinic/Group Practice 4183779440 Receives reassigned benefits from 1 practitioner
Practice locations: Kew Gardens, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.