NPIMap

Individual provider Active NPI

Syedali Raza Zaidi, PA

  • Physician Assistant
  • Bellerose, NY
National Provider Identifier
1992215941
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
021451 Issued in NY
Practice address
23721 88TH Ave
Bellerose, NY 11426-1211
Phone
(516) 710-1883
NPI assigned
Oct 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 021451 NY Primary

Addresses

Primary practice location

23721 88TH Ave
Bellerose, NY 11426-1211

Mailing address

23721 88TH Ave
Bellerose, NY 11426-1211

Other practice location 1

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-4094

Other practice location 2

111 E 210th St
Bronx, NY 10467-2401
Phone (718) 920-4321

Other practice location 3

8515 126th St
Kew Gardens, NY 11415-3312
Phone (718) 872-9570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171221002446 NY Practitioner - Physician Assistant 5597023432 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.07 of 100Reported as group
Quality
57.91
Promoting interoperability
77
Improvement activities
40
Cost
80.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021451NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jun 15, 2018 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Dec 13, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Jun 15, 2018 Accepting new patients
Cityhealth Medical PC PastSince Jul 1, 2017 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16093/brand/1/csg/1/fhir/r4
  • Direct secure messaging: szaidi144255@nychhc.direct-ci.com
  • Direct secure messaging: syedalizaidi@nslijmedgr.allscriptsdirect.net

Organizations & group practices 10

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": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1992215941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23721 88TH AVE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23721 88TH AVE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261211",
            "telephone_number": "516-710-1883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Montauk Hwy",
            "address_purpose": "LOCATION",
            "city": "West Islip",
            "state": "NY",
            "postal_code": "117954927",
            "country_code": "US",
            "telephone_number": "631-376-4094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-920-4321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8515 126th St",
            "address_purpose": "LOCATION",
            "city": "Kew Gardens",
            "state": "NY",
            "postal_code": "114153312",
            "country_code": "US",
            "telephone_number": "718-872-9570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAIDI",
        "first_name": "SYEDALI",
        "middle_name": "RAZA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-04",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose, NY

Sources for this page

Verify at the official NPI Registry.