Individual provider Active NPI

Aliea Shaffie

  • Family Nurse Practitioner
  • Smithtown, NY
National Provider Identifier
1831925403
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
355125 Issued in NY
Practice address
329 E Main St Ste 9
Smithtown, NY 11787-2831
Phone
(631) 366-2333
NPI assigned
Sep 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 355125 NY Primary

Addresses

Primary practice location

329 E Main St Ste 9
Smithtown, NY 11787-2831

Mailing address

957 Downing Rd
Valley Stream, NY 11580-1508
Phone (516) 524-4208

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260417001629 NY Practitioner - Nurse Practitioner 9537640131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

957 Downing Rd
Valley Stream, NY 11580-1508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
355125NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Health PLLC Current Accepting new patients
Dr Michael Kaplan DO PC CurrentSince Sep 15, 2024 Accepting new patients

Locations

3650 Route 112
Coram, NY 11727
Phone (631) 320-3200

1 Center Ln
Levittown, NY 11756
Phone (516) 454-6060

329 E Middle Country Rd
Ste 9
Smithtown, NY 11787
Phone (631) 361-3363

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1831925403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 DOWNING RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801508",
            "telephone_number": "516-524-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E MAIN ST STE 9",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872831",
            "telephone_number": "631-366-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFIE",
        "first_name": "ALIEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "355125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.