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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: October 25, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shady Zeidan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Doral Medical And Multi Specialty Facility LLC
3.9 mi
Multi-Specialty
1797 PITKIN AVE
Brooklyn, NY 11212
  • Reassigned Medicare billing, New York enrollment
  • 73 clinicians in this Medicare group
NPI 1144693607 (718) 367-2555
Advantagecare Physicians PC
7.0 mi
General Practice
215 E 95TH ST
New York, NY 10128
  • Reassigned Medicare billing, New York enrollment
  • 724 clinicians in this Medicare group
NPI 1336578772 (212) 996-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 11

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.

Which organizations bill Medicare for Shady Zeidan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shady Zeidan reassigns Medicare benefits to 2 organizations: Doral Medical And Multi Specialty Facility LLC (Brooklyn, NY) and Advantagecare Physicians PC (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shady Zeidan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.