Active NPI
Sahar Sherzada
- Specialist
- Hicksville, NY
National Provider Identifier
1801336565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1034883162
- Practice address
- 197 Cottage Blvd
Hicksville, NY 11801-5947 - Phone
- (646) 462-0096
- NPI assigned
- Feb 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 1279832 | NY | |
| Specialist | 174400000X | 1034883162 | NY | Primary |
Addresses
Primary practice location
197 Cottage Blvd
Hicksville, NY 11801-5947
Mailing address
197 Cottage Blvd
Hicksville, NY 11801-5947
Phone (646) 462-0096
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1034883162 | NY | MD | Specialist |
| 1279832 | NY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1801336565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 COTTAGE BLVD",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118015947",
"telephone_number": "646-462-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 COTTAGE BLVD",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118015947",
"telephone_number": "646-462-0096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERZADA",
"first_name": "SAHAR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-28",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "1279832",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1034883162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.