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Shaun Sadick Ahmed, PA

Physician Assistant in West Islip, NY. Individual provider (NPI-1).

NPI number1467477752
StatusActive
Last updated in NPPESMay 29, 2008

Details

NPI
1467477752
Entity type
Individual (NPI-1)
Name
Shaun Sadick Ahmed
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Jul 13, 2006
Last updated
May 29, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant009754NYYes

Practice location

1000 Montauk Hwy
West Islip, NY 11795-4927

Phone 631-376-3000

Mailing address

Po Box 6010
Hauppauge, NY 11788-9010

Phone 631-232-4000 · Fax 631-851-9225

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant providers in West Islip, NY

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