Mohammed Hasan Shahid

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

P125348 Issued in NY

Practice address

6 Medical PLZ
Glen Cove, NY 11542-2108

Phone

(516) 656-8000

NPI assigned

May 20, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1982443073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 BAY RIDGE PKWY FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282401",
            "telephone_number": "917-676-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MEDICAL PLZ",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422108",
            "telephone_number": "516-656-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHID",
        "first_name": "MOHAMMED",
        "middle_name": "HASAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P125348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Healthcare Associates, LLC
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• Krystle Antoinette Serrano
• SG Senior Living, LLC
• Sunil Shah, MD
• Lisa Nicole Shapiro, M.S. D.O
• Mohamed Anwerulla Sharieff, PHARM D
• Sarika Sharma
• John Paul Sheehy, M.D.
• Natasha Sheikh

• Internal Medicine Physician in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.