Active NPI
Shaesta G Humayun, MD
- Anesthesiology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 137294
- Practice address
- 1 Brookdale Plaza
Brooklyn, NY 11212 - Phone
- (718) 240-5353
- Fax
- (718) 240-5368
- NPI assigned
- Jun 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 137294 | NY | Primary |
Addresses
Primary practice location
1 Brookdale Plaza
Brooklyn, NY 11212
Mailing address
1 Brookdale Plaza
Brooklyn, NY 11212
Phone (718) 240-5353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00731535 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5314 Roosevelt Ave
Suite 302
Woodside, NY 11377-4239
Phone (516) 626-1000
8708 Justice Ave
Suite 14
Elmhurst, NY 11373-4575
Phone (718) 507-8866
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137294 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Suites LLC | Anesthesiology | Current | Accepting new patients |
| Eastside Alliance Medical Associates, P.C. | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| North Shore - Lij Anesthesiology, PC | Anesthesiology | Current | Accepting new patients |
| New Day Medical PC | Anesthesiology | Current | Accepting new patients |
| Upstate Anesthesia Services, P.C. | Anesthesiology | Current | Accepting new patients |
| Parviz Soomekh MD PC | Anesthesiology | Current | Accepting new patients |
| Montefiore Medical Center | Anesthesiology | Current | Accepting new patients |
| Sedation Vacation Perioperative Medicine PLLC | Current | Accepting new patients | |
| Brookdale Hospital Medical Center | Past | Accepting new patients |
Locations
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
111 E 210th St
Bronx, NY 10467
1 Brookdale Plz
Ste 702
Brooklyn, NY 11212
Phone (718) 240-5353
1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212
1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313
1 Brookdale Plz
Rm 702
Brooklyn, NY 11212
Phone (718) 240-5133
1 Brookdale Plz
Rm 7
Brooklyn, NY 11212
2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862
623 Stewart Ave
Ste 101
Garden City, NY 11530
Phone (516) 222-7827
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
1895 Walt Whitman Rd
Ste 10
Melville, NY 11747
Phone (631) 293-9700
1 Delaware Dr
New Hyde Park, NY 11042
Phone (516) 336-5255
250 Park Ave S
Fl 8
New York, NY 10003
Phone (212) 979-3237
40 E 10th St
Ste 1W
New York, NY 10003
Phone (212) 344-9524
10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600
118 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 376-0055
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Flushing, NY
- NPI 1396131272
-
- Gastroenterology Physician
- New York, NY
- NPI 1619136595
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Anesthesiology Physician
- Carle Place, NY
- NPI 1790142677
-
- Specialist
- Valley Stream, NY
- NPI 1891235404
-
- Anesthesiology Physician
- East Meadow, NY
- NPI 1629272141
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1962451195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366329600000",
"number": "1790726552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BROOKDALE PLAZA",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11212",
"telephone_number": "718-240-5353",
"fax_number": "718-240-5368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BROOKDALE PLAZA",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11212",
"telephone_number": "718-240-5353",
"fax_number": "718-240-5368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMAYUN",
"first_name": "SHAESTA",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2013-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "137294",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00731535",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Human Care Services for Families and Children Inc
- Human Care Services for Families and Children Inc.
- Human Development Association
- Humayun Rashid Physician PC
- Aiza Humayun, DDS
- Joseph Leon Humble II, D.C.
- Humbled Beginnings for Youth
- Humdard Inc. Pharmcy and Discount
- David J Humen Jr.
- Lilas Humen, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.