Shiran Hannah Aldad
Individual provider Active NPI Physician Assistant · Roslyn, NY
NPI 1982142212 · NPPES record last updated Feb 7, 2017
Key facts
- NPI
- 1982142212
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 020319-1 (NY)
- Practice address
- 10 Sterling PLZ
Roslyn, NY 11576-3050 - Phone
- (516) 708-7835
- NPI assigned
- Feb 7, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170424000060 | NY | Practitioner - Physician Assistant | 5799061990 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020319 | NY | MD | Speech-Language Pathologist |
| 020319-1 | NY | MD | Physician Assistant |
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aldad Medical PC | Past |
Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 020319-1 | NY | Yes |
Addresses
Primary practice location
10 Sterling PLZ
Roslyn, NY 11576-3050
Mailing address
10 Sterling PLZ
Roslyn, NY 11576-3050
Other providers in Roslyn, NY
- Alina Agnello
- Tahir Ahmad
- Zaid Ahmad
- Stephanie Danielle Albano
- Jacob Albinder
- Alex Mand DPM Inc
- Joshua Alexander
- John Alfarone
- Allergy & Pulmonary Medical of Long Island PC
- Fazia Allihussain
All providers in Roslyn, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.