Individual provider Active NPI

Shaesta G Humayun, MD

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1790726552
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
137294 Issued in NY
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

Updated by the provider on Apr 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00731535MedicaidNY

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
I20110124000904 NY Practitioner - Anesthesiology 9133308182 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Day Medical PCGroup PAC ID 8022338946, 27 clinicians

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

LicenseStateTypeSpecialty
137294NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Star Suites LLC Anesthesiology CurrentSince Jul 11, 2024 Accepting new patients
Eastside Alliance Medical Associates, P.C. CurrentSince Dec 1, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Jul 23, 2018 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Feb 3, 2019 Accepting new patients
New Day Medical PC Anesthesiology CurrentSince Apr 27, 2024 Accepting new patients
Upstate Anesthesia Services, P.C. Anesthesiology CurrentSince Mar 14, 2020 Accepting new patients
Parviz Soomekh MD PC Anesthesiology CurrentSince Oct 12, 2025 Accepting new patients
Montefiore Medical Center Anesthesiology CurrentSince Jul 23, 2018 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Jun 12, 2023 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.

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

Sources for this page

Verify at the official NPI Registry.