Individual provider Active NPI

Shafaq Sana

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1942774435
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2601 Ocean Pkwy FL 2
Brooklyn, NY 11235-7791
Phone
(347) 922-6207
NPI assigned
Jan 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2601 Ocean Pkwy FL 2
Brooklyn, NY 11235-7791

Mailing address

2305 Brigham St FL 2
Brooklyn, NY 11229-5511
Phone (347) 922-6207

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
I20190708002061 NY Practitioner - Physician Assistant 6800121229 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercy College, 2019
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)

129 Sunrise Hwy W
Patchogue, NY 11772-1846
Phone (631) 230-5775

1757 Sunrise Hwy
Bay Shore, NY 11706-6014

1850 Sunrise Hwy
Bay Shore, NY 11706-6012
Phone (631) 581-5900

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

399 Fort Salonga Rd
Northport, NY 11768-3045
Phone (631) 757-5400

4724 Nesconset Hwy
Port Jefferson Station, NY 11776-2580
Phone (631) 474-5900

519 W Jericho Tpke
Smithtown, NY 11787-2619
Phone (631) 360-5900

5600 Sunrise Hwy
Sayville, NY 11782-1017
Phone (631) 563-7828

600 Portion Rd
Ronkonkoma, NY 11779-1867
Phone (631) 471-5900

901 Sunrise Hwy
Copiague, NY 11726-1300
Phone (631) 841-5900

996 Middle Country Rd
Selden, NY 11784-2511
Phone (631) 736-5900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Parcare Community Health Network Inc CurrentSince Oct 1, 2022 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince May 17, 2021 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince May 17, 2021 Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients

Locations

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

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

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

Interoperability endpoints

  • Direct secure messaging: shafaq.sana.1@2983.direct.athenahealth.com

Organizations & group practices 7

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": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1942774435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 BRIGHAM ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295511",
            "telephone_number": "347-922-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 OCEAN PKWY FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357791",
            "telephone_number": "347-922-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANA",
        "first_name": "SHAFAQ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.