SHAMSHAD FATIMA SIAL (NPI# 1851783401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851783401 |
| Entity Type | Individual |
| Full Name | SHAMSHAD FATIMA SIAL |
| Credential | PA |
| Practice Address |
267-01 Hillside Avenue Quality Medical Provider PC Floral Park NY 11004 |
| Practice Telephone | 7183437790 |
| Practice Fax Number | 7183228495 |
| Mailing Fax Number | 7183228495 |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2016-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 018315 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 018315 | 01 |
| Street Address |
267-01 HILLSIDE AVENUE QUALITY MEDICAL PROVIDER PC |
| City | FLORAL PARK |
| State | NY |
| Zip Code | 11004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275905739 | Qadri Medical PC | Internal Medicine | 267-01 Hillside Avenue, Floral Park, NY 11004-1100 | 2015-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356829980 | Evelyne Philippe | Counselor | 72-37 Little Neck Parkway, Glen Oaks, NY 11004 | 2018-08-06 |
| 1407333032 | Laura Restrepo | Registered Nurse | 256-11 Union Turnpike, Glen Oaks, NY 11004 | 2018-07-26 |
| 1477045920 | Linda Dorothy Babbino | Early Intervention Provider Agency | 260-44 75th Ave, Glen Oaks, NY 11004 | 2018-05-31 |
| 1356838544 | Carol Harbajan | Social Worker | 81-04 256th Street, Glen Oaks, NY 11004 | 2018-04-13 |
| 1699285759 | Wendy P Fuller | Psychologist | 75-79 263rd St, Glen Oaks, NY 11004 | 2017-10-03 |
| 1316311608 | Glen Oak Medical Care Pllc | Internal Medicine | 262-05 Hillside Ave, Glen Oaks, NY 11004 | 2015-11-24 |
| 1679952246 | Yardana S Kaufman | Student in an Organized Health Care Education/Training Program | Zucker Hillside Hospital, 75-59 263rd Street, Glen Oaks, NY 11004 | 2015-05-28 |
| 1710304944 | Straight Smiles Orthodontics Pllc | Dentist | 259-19 Hillside Avenue, Floral Park, NY 11004 | 2014-03-26 |
| 1316381437 | Preetha A Kuruvilla Dds PC | Dentist | 260-12 Hillside Ave, Floral Park, NY 11004 | 2013-04-19 |
| 1730522756 | Fatima Masumova | Student in an Organized Health Care Education/Training Program | 75-59 263rd Street @ 74th Avenue, Glen Oaks, NY 11004 | 2013-04-09 |
| Find all providers in zip 11004 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675089 | Shanaz Husein | Physician Assistant | 51 Mckee St, Floral Park, NY 11001-1615 | 2020-09-29 |
| 1467094615 | Mariah Noor | Physician Assistant | 8356 264th St, Floral Park, NY 11004-1714 | 2019-10-09 |
| 1457912172 | Carly Cavagnaro | Physician Assistant | 185 W Poplar St, Floral Park, NY 11001-3311 | 2019-06-24 |
| 1003284811 | Kelsey Lutchman | Physician Assistant | 8030 Little Neck Pkwy, Floral Park, NY 11004-1218 | 2015-09-10 |
| 1851773808 | Michael Rachwalski | Physician Assistant | 21 Hanover St, Floral Park, NY 11001-2927 | 2015-06-26 |
| 1861803462 | Manpreet Dhillon | Physician Assistant | 25510 87th Ter, Floral Park, NY 11001-1404 | 2014-05-16 |
| 1982955233 | Jennifer Christine Regan | Physician Assistant | 47 Willow St, Floral Park, NY 11001-3407 | 2012-09-26 |
| 1336437540 | Anjanie R Sakhichand | Physician Assistant | 8791 257th St, Floral Park, NY 11001-1415 | 2011-07-21 |
| 1528362936 | Mary Ann Mcgrade | Physician Assistant | 25 Martha Ter, Floral Park, NY 11001-2102 | 2010-12-28 |
| 1255505897 | Peter Thomas Varghese | Physician Assistant | 256-05 83rd Avenue, Floral Park, NY 11004 | 2008-04-15 |
| Find all providers in FLORAL PARK | ||||
| City | FLORAL PARK |
| Zip Code | 11004 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.