Syed Ali Raza Shamsi, M.B.B.S.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

267162-1 Issued in NY

Practice address

305 E. Fairmont Avenue
Unit 7
Lakewood, NY 14750

Phone

(716) 526-4041

Fax

(716) 526-4161

NPI assigned

Dec 10, 2008

Last updated

Nov 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sas9338@direct.nyp.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Cattaraugus

  dba Dept of Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Olean, NY
  • NPI 1659414696

  Psychiatry

  Medicare reassignment NPD
• The New York and Presbyterian Hospital

  dba Ambulatory Care Network

  • Nutritionist
  • New York, NY
  • NPI 1891857025
  Medicare reassignment NPD
• Weill Medical College of Cornell

  dba Dept. of Psychiatry

  • Psychologist
  • New York, NY
  • NPI 1871692210
  Medicare reassignment NPD
• Olean General Hospital

  • General Practice Physician
  • Bradford, PA
  • NPI 1649296781

  NY

  Medicare reassignment NPD
• Jamestown Psychiatric PC

  • Child & Adolescent Psychiatry Physician
  • Jamestown, NY
  • NPI 1700062247
  Medicare reassignment
• Cattaraugus County Dept. Community Services

  • Psychiatric/Mental Health Registered Nurse
  • Olean, NY
  • NPI 1982747101
  NPD
• County of Cattaraugus County Treasurer

  • Home Health Agency
  • Olean, NY
  • NPI 1336183805
  NPD
• New York and Presbyterian Hosp

  • Psychiatry Physician
  • New York, NY
  • NPI 1912173329
  NPD
• Olean General Hospital

  dba Foothills Medical Group

  • General Practice Physician
  • Olean, NY
  • NPI 1033499017
  NPD
• The New York and Presbyterian Hospital

  dba New-York-Presbyterian Pharmacy

  • Community/Retail Pharmacy
  • White Plains, NY
  • NPI 1457057226
  NPD
• Weill Medical College of Cornell

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1144729385
  NPD
• Family Health Medical Services PLLC

  • Family Medicine Physician
  • Jamestown, NY
  • NPI 1619072204
  NPD (past)

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1982849659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 TEACHERS LN",
            "address_2": "APT 12",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272132",
            "telephone_number": "646-345-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E. FAIRMONT AVENUE",
            "address_2": "UNIT 7",
            "city": "LAKEWOOD",
            "state": "NY",
            "postal_code": "14750",
            "telephone_number": "716-526-4041",
            "fax_number": "716-526-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMSI",
        "first_name": "SYED",
        "middle_name": "ALI RAZA",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-10",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "267162-1",
            "primary": true
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NY",
            "license": "267162-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Roell, TSHH
• James Francis Rovegno, RPH
• Rebecca Anne Schillo, DPT, PT
• Shannon Scoma, RN
• Jon Scroxton, PT, DPT
• Mark E Simons, RPH
• David C Smith, DPM
• Alicia J Snow, PA-C
• Southern Tier Dentistry
• Southern Tier Nurse Practitioners in Psychiatry

• Psychiatry Physician in Lakewood, NY
• Providers in Lakewood, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.