Shamshad Fatima Sial, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

018315 Issued in NY

Practice address

267-01 Hillside Avenue
Quality Medical Provider PC
Floral Park, NY 11004

Phone

(718) 343-7790

Fax

(718) 322-8495

NPI assigned

Feb 19, 2015

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: ssial734842@nyumc.direct-ci.com

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1851783401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267-01 HILLSIDE AVENUE",
            "address_2": "QUALITY MEDICAL PROVIDER PC",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "11004",
            "fax_number": "718-322-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267-01 HILLSIDE AVENUE",
            "address_2": "QUALITY MEDICAL PROVIDER PC",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "11004",
            "telephone_number": "718-343-7790",
            "fax_number": "718-322-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAL",
        "first_name": "SHAMSHAD",
        "middle_name": "FATIMA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-19",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "018315",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Sherman, D.P.M.
• Racheal Emy Shin, PHARM.D
• Mojgan Shokrian, RPH
• Rahem Shreeves, MHC-LP
• Pratix Kantilal Shroff, DDS
• Michal Sianov, PA
• Wanda B Simpkins
• Amrinderjit Singh
• Manpreet Singh, PA-C
• Natasha Singh, M.S.ED.

• Physician Assistant in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.