Individual provider Active NPI

Sehar Ejaz, M.D.

  • Pediatric Endocrinology Physician
  • Astoria, NY
National Provider Identifier
1649567462
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
262498 Issued in NY
Practice address
2552 Steinway St
Department of Pediatrics
Astoria, NY 11103-3777
Phone
(718) 777-6695
Fax
(718) 777-2387
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 262498 NY Primary

Addresses

Primary practice location

2552 Steinway St
Department of Pediatrics
Astoria, NY 11103-3777

Mailing address

2552 Steinway St
Department of Pediatrics
Astoria, NY 11103-3777
Phone (718) 777-6695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140708000119 NY Practitioner - Pediatric MedicinePractitioner - Endocrinology 7113142100 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Health Care Corporation CurrentSince Aug 29, 2017 Accepting new patients
Nassau Health Care Corporation CurrentSince Aug 29, 2017 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Boston Children'S Health Physicians, LLP Pediatric Endocrinology Past Accepting new patients
Nassau Health Care Corporation Past Accepting new patients

Locations

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

2201 Hempstead Tpke
Fl 19
East Meadow, NY 11554
Phone (516) 486-6862

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1649567462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 STEINWAY ST",
            "address_2": "DEPARTMENT OF PEDIATRICS",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033777",
            "telephone_number": "718-777-6695",
            "fax_number": "718-777-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 STEINWAY ST",
            "address_2": "DEPARTMENT OF PEDIATRICS",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033777",
            "telephone_number": "718-777-6695",
            "fax_number": "718-777-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJAZ",
        "first_name": "SEHAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NY",
            "license": "262498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.