Individual provider Active NPI

Asfa Y Shad, D.O.

  • Neurology Physician
  • New York, NY
National Provider Identifier
1801047899
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
272651-1 Issued in NY
Practice address
66 Ashdale
New York, NY 14228-3755
Phone
(888) 464-2466
NPI assigned
Oct 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 272651-1 NY Primary

Addresses

Primary practice location

66 Ashdale
New York, NY 14228-3755

Mailing address

66 Ashdale Cir
New York, NY 14228-3755

Other practice location 1

565 Abbott Rd
Buffalo, NY 14220-2095
Phone (716) 826-7000

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
I20150918001501 NY Practitioner - Neurology 5597072884 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

192 Park Club LN
Williamsville, NY 14221-5270

3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966

5196 Genesee St
Bowmansville, NY 14026-1038
Phone (716) 817-9952

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
272651-1NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Trinity Medical Wny PC Current Accepting new patients
Mercy Hospital of Buffalo CurrentSince Jul 15, 2015 Accepting new patients
Trinity Medical Wny PC CurrentSince Jan 1, 2025 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jan 29, 2024 Accepting new patients
Eastern Great Lakes Pathology PC Current Accepting new patients
CHS Neuroscience Group Neurology CurrentSince Jul 15, 2015 Accepting new patients
Trinity Medical Wny PC CurrentSince Jan 1, 2025 Accepting new patients
American Neuromonitoring Associates, PC Neurology CurrentSince Sep 24, 2018 Accepting new patients

Locations

10275 Little Patuxent Pkwy
Ste 300
Columbia, MD 21044
Phone (734) 545-4420

5196 Genesee St
Bowmansville, NY 14026
Phone (716) 206-0005

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

192 Park Club Ln
Ste 100
Williamsville, NY 14221
Phone (716) 667-7463

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1801047899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 ASHDALE CIR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "142283755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 ASHDALE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "142283755",
            "telephone_number": "888-464-2466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "565 Abbott Rd",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142202095",
            "country_code": "US",
            "telephone_number": "716-826-7000",
            "fax_number": "716-828-3890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAD",
        "first_name": "ASFA",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "272651-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.