Individual provider Active NPI

Shabnam Torkian Tabaroki, RPA-C

  • Physician Assistant
  • New Hyde Park, NY
National Provider Identifier
1942437066
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
009467 Issued in NY
Practice address
2001 Marcus Ave Ste E249
New Hyde Park, NY 11042-1000
Phone
(516) 437-5600
Fax
(516) 437-7428
NPI assigned
Jun 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 009467 NY Primary

Addresses

Primary practice location

2001 Marcus Ave Ste E249
New Hyde Park, NY 11042-1000

Mailing address

2001 Marcus Avenue
Suite E249
New Hyde Park, NY 11040-1402
Phone (516) 437-5600

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
I20151215000023 NY Practitioner - Physician Assistant 9931400017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Cardiology Consultants, PLLCGroup PAC ID 7618912965, 9 clinicians

Practice addresses (Care Compare)

10911 Jamaica Ave
Richmond Hill, NY 11418-2335
Phone (516) 437-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
009467NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Leonardo N Saulle MD PC CurrentSince Jul 24, 2022 Accepting new patients

Locations

2001 Marcus Ave
Ste E249
New Hyde Park, NY 11042

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: shabnam.tabaroki.1@31700.direct.athenahealth.com

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": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942437066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVENUE",
            "address_2": "SUITE E249",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401402",
            "telephone_number": "516-437-5600",
            "fax_number": "516-437-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE STE E249",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421000",
            "telephone_number": "516-437-5600",
            "fax_number": "516-437-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABAROKI",
        "first_name": "SHABNAM",
        "middle_name": "TORKIAN",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.