Mohammad Shafique, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

038023 Issued in NY

Practice address

718 Knickerbocker Ave
Brooklyn, NY 11221-5333

Phone

(718) 574-9915

Fax

(718) 574-3333

NPI assigned

Oct 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831180876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112071002",
            "telephone_number": "718-574-4961",
            "fax_number": "718-443-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 KNICKERBOCKER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112215333",
            "telephone_number": "718-574-9915",
            "fax_number": "718-574-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFIQUE",
        "first_name": "MOHAMMAD",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "038023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00801501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tasnuva Nuhat Shafin, MD
• Almas Shafiq
• Atika Shafiq, MS ED
• Tooba Shafiq, MD
• Kiran Shafique, OTR/L
• Marina Shafiro, LCSW - R
• Esther Menucha Shafran, SPECIAL ED
• Jacob C Shafran, OD
• Shafy Pharmacy Inc
• Chana Sara Shagalow

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.