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MR. SHADY ZEIDAN NP
NPI 1245707082
Nurse Practitioner - Adult Health in Forest Hills, NY

Active since October 30, 2018PECOS EnrolledAccepts Medicare Assignment
96-10 METROPOLITAN AVE, FOREST HILLS, NY 11375(718) 459-0400(718) 670-6479 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2023, Oct 31, 2018 (2 updates tracked since 2018).

About Mr. Shady Zeidan Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHADY ZEIDAN NP (NPI 1245707082) is an individual adult health provider in Forest Hills, New York, licensed in New York (F308774-1) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1245707082
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. SHADY ZEIDANCredential: NP
Location Address96-10 METROPOLITAN AVEForest Hills, NY 11375-6625
Mailing Address55 Water St Fl 2New York, NY 10041-0010 · (646) 680-2888 · Fax (516) 542-5556
Phone(718) 459-0400
Fax(718) 670-6479
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 30, 2018
Last NPPES UpdateJanuary 27, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2023
✔ NPI 1245707082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F308774-1
96-10 METROPOLITAN AVE, Forest Hills, NY 11375
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1259 1st StMineola, NY 11501-3957 · Phone (516) 663-2186
Location 21991 Marcus Ave, 2nd FloorNew Hyde Park, NY 11042-2057 · Phone (516) 354-1600 · Fax (516) 941-4673

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Shady Zeidan Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779918842
PECOS Enrollment IDI20200117001361
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11375 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AIDA MUNAROVA DO
Family Medicine
96-10 METROPOLITAN AVE
FOREST HILLS, NY 11375
Queens County (718) 459-0400
BRIAN CHENG LIU MD
Internal Medicine (Cardiovascular Disease)
96-10 METROPOLITAN AVE
FOREST HILLS, NY 11375
Queens County (718) 459-0400
SHIFRA SOMPOLINSKY PA
Physician Assistant
96-10 METROPOLITAN AVE
FOREST HILLS, NY 11375
Queens County (718) 459-0400
DIANA KOLTOVSKI DO
Family Medicine
96-10 METROPOLITAN AVE
FOREST HILLS, NY 11375
Queens County (718) 459-0400
JITENDRA S CHADDA MD
Internal Medicine
96-10 METROPOLITAN AVE
FOREST HILLS, NY 11375
Queens County (718) 459-0400
FUAD BENYAMINOV MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
96-10 METROPOLITAN AVE
FOREST HILLS, NY 11375
Queens County (718) 459-0400
MAHESH BHASKAR MD
Pediatrics
96-10 METROPOLITAN AVE
FOREST HILLS, NY 11375
Queens County (718) 459-0400
SHANTA BAJAJ MD
Internal Medicine (Hematology & Oncology)
96-10 METROPOLITAN AVE
FOREST HILLS, NY 11375
Queens County (718) 459-0400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shady Zeidan's NPI number?

The NPI number for Shady Zeidan is 1245707082. It was assigned to this individual provider in the NPPES registry on October 30, 2018.

Where is Shady Zeidan located?

Shady Zeidan practices at 96-10 Metropolitan Ave, Forest Hills, NY 11375. The listed phone number is (718) 459-0400.

What is Shady Zeidan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Shady Zeidan enrolled in Medicare?

Yes. Shady Zeidan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shady Zeidan was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.