Individual provider Active NPI

Vaseem Shaikh

  • Physician Assistant
  • Snellville, GA
National Provider Identifier
1669848289
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
029282-01 Issued in NY
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

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220712002088 GA Practitioner - Physician Assistant 2769862432
I20260114000587 NY Practitioner - Physician Assistant 2769862432 Reassigns benefits to 1 organization

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
Vantage Medical Associates PCGroup PAC ID 0547673816, 84 clinicians

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

LicenseStateTypeSpecialty
7769GAMDEmergency Medicine Physician
029282NYMDPhysical Therapist
PA 9108804FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Medical Associates PC CurrentSince Oct 30, 2025 Accepting new patients
Aica Orthopedics, P.C. Past Accepting new patients
Aica Orthopedics, P. C. PastSince Jul 20, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.