Active NPI
Hillside Infectious Disease Consulting PLLC
- Medical Specialty Clinic/Center
- New Hyde Park, NY
National Provider Identifier
1831394469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 230853
- Legal business name
- HILLSIDE INFECTIOUS DISEASE CONSULTING PLLC
- Practice address
- 1575 Hillside Ave Ste 100a
New Hyde Park, NY 11040-2501 - Phone
- (516) 833-7469
- Fax
- (516) 833-7470
- NPI assigned
- Jun 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Saira K Shahab, M.D.
- Title
- Sole Proprietor
- Phone
- (516) 270-4742
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 230853 | NY | Primary |
Addresses
Primary practice location
1575 Hillside Ave Ste 100a
New Hyde Park, NY 11040-2501
Mailing address
332 Bryn Mawr Rd
New Hyde Park, NY 11040-3509
Phone (516) 270-4742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Hempstead, NY
- NPI 1144271784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212105600000",
"number": "1831394469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 BRYN MAWR RD",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110403509",
"telephone_number": "516-270-4742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 HILLSIDE AVE STE 100A",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110402501",
"telephone_number": "516-833-7469",
"fax_number": "516-833-7470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLSIDE INFECTIOUS DISEASE CONSULTING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-14",
"last_updated": "2008-05-30",
"status": "A",
"authorized_official_last_name": "SHAHAB",
"authorized_official_first_name": "SAIRA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "516-270-4742",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NY",
"license": "230853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.