Individual provider Active NPI

Shabrin A Haque, MD

  • Child & Adolescent Psychiatry Physician
  • Buffalo, NY
National Provider Identifier
1811929524
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
236485 Issued in NY
Practice address
70 Barker St
Buffalo, NY 14209-2013
Phone
(716) 883-1914
NPI assigned
Jul 6, 2006
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 236485 NY Primary

Addresses

Primary practice location

70 Barker St
Buffalo, NY 14209-2013

Mailing address

70 Barker St
Buffalo, NY 14209-2013
Phone (716) 883-1914

Other practice location 1

1263 Delaware Ave
Buffalo, NY 14209-2497
Phone (716) 886-8200

Other identifiers 1

IdentifierTypeStateIssuer
00688211MedicaidNY

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
I20050809000410 NY Practitioner - Psychiatry 8921037078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brylin Hospitals, IncGroup PAC ID 4183608375, 5 clinicians

Practice addresses (Care Compare)

1263 Delaware Ave
Buffalo, NY 14209-2402
Phone (716) 886-8200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Junaid Hashim MD CurrentSince Apr 26, 2020 Accepting new patients
Brylin Hospitals, Inc. Child & Adolescent Psychiatry CurrentSince Jul 28, 2025 Accepting new patients
Brylin Hospitals, Inc. CurrentSince Jul 28, 2025 Accepting new patients
University Psychiatric Practice, Inc PastSince Oct 1, 1992 Accepting new patients
Jewish Family Services of Western New York PastSince Oct 1, 1994 Accepting new patients

Locations

1263 Delaware Ave
Buffalo, NY 14209
Phone (716) 219-3636

5904 Sheridan Dr
Ste 1
Williamsville, NY 14221
Phone (716) 886-5493

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1811929524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 BARKER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092013",
            "telephone_number": "716-883-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BARKER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092013",
            "telephone_number": "716-883-1914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1263 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142092497",
            "country_code": "US",
            "telephone_number": "716-886-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "SHABRIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "236485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00688211",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.