Individual provider Active NPI

Syeda Shazia Asad, M.D

  • Chronic Disease Hospital
  • Glen Oaks, NY
National Provider Identifier
1740576065
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Disease HospitalTaxonomy code 281P00000X
License
P79266 Issued in NY
Practice address
26330 74TH Ave Apt D8
Glen Oaks, NY 11004-1176
Phone
(732) 379-0762
NPI assigned
Jun 24, 2011
Last updated
Jun 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chronic Disease Hospital 281P00000X P79266 NY Primary

Addresses

Primary practice location

26330 74TH Ave Apt D8
Glen Oaks, NY 11004-1176

Mailing address

26330 74TH Ave Apt D8
Glen Oaks, NY 11004-1176
Phone (732) 379-0762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P79266NYMDChronic Disease Hospital

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1740576065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26330 74TH AVE APT D8",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041176",
            "telephone_number": "732-379-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26330 74TH AVE APT D8",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041176",
            "telephone_number": "732-379-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASAD",
        "first_name": "SYEDA",
        "middle_name": "SHAZIA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "NY",
            "license": "P79266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Oaks, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.