Active NPI
Shehreen Jewan
- Internal Medicine Physician
- Elmhurst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 302880
- Practice address
- 88-31 55TH Avenue
Suite 201
Elmhurst, NY 11373-4686 - Phone
- (718) 899-6600
- Fax
- (718) 606-3881
- NPI assigned
- Jul 14, 2016
- Last updated
- Aug 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | 302880 | NY | Primary |
Addresses
Primary practice location
88-31 55TH Avenue
Suite 201
Elmhurst, NY 11373-4686
Mailing address
55 Water Street
2ND Floor Cred Dept
New York, NY 10041-0010
Phone (646) 680-2888
Other practice location 1
2600 Sixth St SW
Canton, OH 44710-1702
Phone (330) 363-6326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Akron General Ave
Akron, OH 44307-2432
Phone (330) 344-6000
255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 368-5983
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Ohio, Professional Corporation | Internal Medicine | Current | Accepting new patients |
| Advantagecare Physicians PC | Internal Medicine | Current | Accepting new patients |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| New York Medical Physician Associates PC | Current | Accepting new patients | |
| New York Medical Physician Associates PC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Richland County, LTD | Internal Medicine | Current | Accepting new patients |
| Good Samaritan Hospital of Suffern | Past | Accepting new patients | |
| Akron General Medical Center | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595
8831 55th Ave
Elmhurst, NY 11373
8831 55th Ave
#201
Elmhurst, NY 11373
55 Water St
Fl 2
New York, NY 10041
241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889
255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Interoperability endpoints
- https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Poughkeepsie, NY
- NPI 1578316501
Internal Medicine
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1043572290
-
dba AdvantageCare Physicians
- General Practice Physician
- New York, NY
- NPI 1336578772
-
- Internal Medicine Physician
- Canton, OH
- NPI 1639119027
-
dba AdvantageCare Physicians Urgent Care
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
-
- Hospitalist Physician
- Margaretville, NY
- NPI 1528869203
-
- General Acute Care Hospital
- Suffern, NY
- NPI 1346213469
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Jervis, NY
- NPI 1659360709
-
- General Acute Care Hospital
- Suffern, NY
- NPI 1346213469
-
- General Acute Care Hospital
- Warwick, NY
- NPI 1598755324
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1639522675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WATER STREET",
"address_2": "2ND FLOOR CRED DEPT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100410010",
"telephone_number": "646-680-2888",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88-31 55TH AVENUE",
"address_2": "SUITE 201",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734686",
"telephone_number": "718-899-6600",
"fax_number": "718-606-3881"
}
],
"practiceLocations": [
{
"address_1": "2600 Sixth St SW",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "OH",
"postal_code": "447101702",
"country_code": "US",
"telephone_number": "330-363-6326",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEWAN",
"first_name": "SHEHREEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-14",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "302880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.