Individual provider Active NPI

Shaneabbas Hasnain Dharsi, PA-C

  • Occupational Medicine Physician
  • Jamaica, NY
National Provider Identifier
1861969057
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
022698 Issued in NY
Practice address
JFK International Airport Building 14
Citimedical-Medport
Jamaica, NY 11430
Phone
(718) 656-1245
NPI assigned
Oct 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 022698 NY Primary

Addresses

Primary practice location

JFK International Airport Building 14
Citimedical-Medport
Jamaica, NY 11430

Mailing address

JFK International Airport Building 14
Citimedical-Medport
Jamaica, NY 11430
Phone (718) 656-1245

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
I20201215003128 NY Practitioner - Physician Assistant 8325450380 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

1047 Southern Blvd
Bronx, NY 10459-3427
Phone (646) 346-7920

1470 Metropolitan Ave
Bronx, NY 10462-7446
Phone (718) 571-9270

1613 Westchester Ave
Bronx, NY 10472-2914
Phone (718) 571-9407

2178 White Plains Rd
Bronx, NY 10462-1406
Phone (718) 489-3555

32 Westchester SQ
Bronx, NY 10461-3514
Phone (646) 661-6668

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

3780 E Tremont Ave
Bronx, NY 10465-2434
Phone (646) 518-8248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
022698NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Feb 17, 2025 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Feb 17, 2025 Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

Interoperability endpoints

  • Direct secure messaging: shaneabbas.dharsi.1@2983.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1861969057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JFK INTERNATIONAL AIRPORT BUILDING 14",
            "address_2": "CITIMEDICAL-MEDPORT",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11430",
            "telephone_number": "718-656-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JFK INTERNATIONAL AIRPORT BUILDING 14",
            "address_2": "CITIMEDICAL-MEDPORT",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11430",
            "telephone_number": "718-656-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHARSI",
        "first_name": "SHANEABBAS",
        "middle_name": "HASNAIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NY",
            "license": "022698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.