Shibrah M. Jamil, MD, P.C.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SHIBRAH M. JAMIL, MD, P.C.

Practice address

11412 Beach Channel Dr Ste 10
Rockaway Park, NY 11694-2212

Phone

(718) 318-0800

NPI assigned

Jul 22, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Shibrah Jamil, MDNPI 1760418727

Title

President

Phone

(917) 975-4163

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shibrah M. Jamil, MD

  • Anesthesiology Physician
  • Flushing, NY
  • NPI 1760418727
  Medicare reassignment NPD Authorized official
• Jay Kenneth Mehlman, MD

  • Gastroenterology Physician
  • Rockaway Park, NY
  • NPI 1649251885
  NPD

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1811505100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15747 ROSE AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552327",
            "telephone_number": "917-975-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11412 BEACH CHANNEL DR STE 10",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942212",
            "telephone_number": "718-318-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15747 Rose Ave",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113552327",
            "country_code": "US",
            "telephone_number": "917-975-4163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHIBRAH M. JAMIL, MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "JAMIL",
        "authorized_official_first_name": "SHIBRAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-975-4163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmed Shakshouk
• Samina Amjad Sheikh, MASTERS IN EDUCATION
• Sheldon W. Miller DPM PC
• Nia Jane'T Sherard
• Maka Giorgievna Shermadini, PTA
• John Richard Shure, D.D.S.
• Dilranie Singh, M.S.,OTRL
• SJ Behavioral Services Inc
• Smile Masters LLC
• Jennifer Smith, PHD

• Anesthesiology Physician in Rockaway Park, NY
• Providers in Rockaway Park, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.