Individual provider Active NPI

Shaheen Isani, M.D.

  • Specialist
  • New York, NY
National Provider Identifier
1952307357
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
145091-1 Issued in NY
Practice address
1049 5TH Ave
New York, NY 10028-0115
Phone
(212) 772-6667
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 145091-1 NY Primary

Addresses

Primary practice location

1049 5TH Ave
New York, NY 10028-0115

Mailing address

PO Box 26940
New York, NY 10087-6940
Phone (201) 804-2800

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040614001614 NY Practitioner - Anesthesiology 6002890472

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 Chestnut St
Englewood, NJ 07632-1918

64 Jackson Ave
Ponte Vedra, FL 32082-2807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
145091-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Medical Services, PLLC CurrentSince Nov 18, 2018 Accepting new patients

Locations

5516 Main St
Ste 1B
Flushing, NY 11355
Phone (718) 321-1995

Organizations & group practices 1

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952307357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26940",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100876940",
            "telephone_number": "201-804-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280115",
            "telephone_number": "212-772-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISANI",
        "first_name": "SHAHEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "145091-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.