Glen Oak Medical Care PLLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

230853-1 Issued in NY

Legal business name

GLEN OAK MEDICAL CARE PLLC

Practice address

26205 Hillside Ave
Floral Park, NY 11004-1756

Phone

(516) 270-4729

Fax

(516) 833-7470

NPI assigned

Jul 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Saira Khalid Shahab, M.D.

Title

Owner

Phone

(516) 270-4729

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Glen Oak Medical Care PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Glen Oak Medical Care PLLC

  • Internal Medicine Physician
  • Glen Oaks, NY
  • NPI 1316311608
  NPD tax ID

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1871901298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 BIRCH DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402320",
            "telephone_number": "516-270-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26205 HILLSIDE AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110041756",
            "telephone_number": "516-270-4729",
            "fax_number": "516-833-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN OAK MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "SHAHAB",
        "authorized_official_first_name": "SAIRA",
        "authorized_official_middle_name": "KHALID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-270-4729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "230853-1",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "230853-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02743593",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Ghadami, DDS
• Gurleen Kaur Gill
• Keri Alanna Gillings-Schembeck, FNP-BC
• Maria Giuffre, M.S.ED
• GJL Medical Laboratories, Inc.
• Glen Oaks Volunteer Ambulance Corps Inc
• Golden Years Senior Program Inc.
• Barbara A Goldstein, LCSW
• Sydney Regina Goldstein
• Elena Goltseker

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.