Organization Active NPI

M. Shareef Neurology, PC

  • Neurology Physician
  • Huntington, NY
National Provider Identifier
1649478686
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
225943 Issued in NY
Legal business name
M. SHAREEF NEUROLOGY, PC
Practice address
158 E Main St
Suite 1
Huntington, NY 11743-2988
Phone
(631) 271-1206
Fax
(631) 271-5550
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Kathy Baez, COO
Title
Coo
Phone
(516) 670-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 225943 NY Primary

Addresses

Primary practice location

158 E Main St
Suite 1
Huntington, NY 11743-2988

Mailing address

1100 Shames Dr
Westbury, NY 11590-1765
Phone (516) 693-0700

National Provider Directory

National Provider Directory

Locations

1100 Shames Dr
Westbury, NY 11590

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": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1649478686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SHAMES DR",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901765",
            "telephone_number": "516-693-0700",
            "fax_number": "516-693-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 E MAIN ST",
            "address_2": "SUITE 1",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432988",
            "telephone_number": "631-271-1206",
            "fax_number": "631-271-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. SHAREEF NEUROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "BAEZ",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "516-670-0700",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "225943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.