Active NPI
Vaseem Shaikh
- Physician Assistant
- Snellville, GA
National Provider Identifier
1669848289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 029282-01
- Practice address
- 2346 Wisteria Dr Ste 110
Snellville, GA 30078-6174 - Phone
- (305) 878-8889
- NPI assigned
- Aug 18, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 7769 | GA | |
| Physician Assistant | 363A00000X | PA68499 | CA | |
| Physician Assistant | 363A00000X | 029282-01 | NY | Primary |
Addresses
Primary practice location
2346 Wisteria Dr Ste 110
Snellville, GA 30078-6174
Mailing address
1778 Philadelphia CT
Lawrenceville, GA 30043-4912
Phone (305) 878-8889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1612 Central Ave
Suite 201
Far Rockaway, NY 11691-4002
Phone (516) 792-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7769 | GA | MD | Emergency Medicine Physician |
| 029282 | NY | MD | Physical Therapist |
| PA 9108804 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vantage Medical Associates PC | Current | Accepting new patients | |
| Aica Orthopedics, P.C. | Past | Accepting new patients | |
| Aica Orthopedics, P. C. | Past | Accepting new patients |
Locations
1612 Central Ave
Far Rockaway, NY 11691
Phone (718) 223-5820
1612 Central Ave
Ste 201
Far Rockaway, NY 11691
Phone (516) 792-1600
Interoperability endpoints
- vaseem.shaikh.p1@direct.aicaorthopedics.nextgenshare.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Far Rockaway, NY
- NPI 1538642996
-
- Multi-Specialty Clinic/Center
- Jonesboro, GA
- NPI 1861062127
-
- Multi-Specialty Clinic/Center
- Jonesboro, GA
- NPI 1679737001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1669848289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1778 PHILADELPHIA CT",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300434912",
"telephone_number": "305-878-8889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2346 WISTERIA DR STE 110",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300786174",
"telephone_number": "305-878-8889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAIKH",
"first_name": "VASEEM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-18",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "7769",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA68499",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "029282-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.