Active NPI
As Primary Care PC
- Internal Medicine Physician
- New Hyde Park, NY
National Provider Identifier
1649072786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- AS PRIMARY CARE PC
- Practice address
- 27005 76TH Ave
New Hyde Park, NY 11040-1402 - Phone
- (917) 331-7574
- NPI assigned
- Mar 27, 2025
- 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
- Arash Shifteh
- Title
- DO
- Phone
- (917) 331-7574
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
27005 76TH Ave
New Hyde Park, NY 11040-1402
Mailing address
82 Old Pond Rd
Great Neck, NY 11023-1032
Phone (917) 331-7574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1743033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743033600000",
"number": "1649072786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 OLD POND RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110231032",
"telephone_number": "917-331-7574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27005 76TH AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401402",
"telephone_number": "917-331-7574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AS PRIMARY CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-27",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A",
"authorized_official_last_name": "SHIFTEH",
"authorized_official_first_name": "ARASH",
"authorized_official_title_or_position": "DO",
"authorized_official_telephone_number": "917-331-7574"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.