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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JAWAD SHABANI MD
NPI 1376284828
Internal Medicine in Port Jefferson, NY

Active since April 06, 2022
75 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 473-1320 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 8, 2026, Apr 15, 2022, Apr 6, 2022 (3 updates tracked since 2022).

About Dr. Jawad Shabani Md NPPES

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

DR. JAWAD SHABANI MD (NPI 1376284828) is an individual internal medicine provider in Port Jefferson, New York, licensed in New York (341483) and active in the NPI registry since April 2022. He maintains a secondary practice location in Stony Brook.

NPPES Registry Identity

NPI1376284828
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAWAD SHABANICredential: MD
Location Address75 N COUNTRY RDPort Jefferson, NY 11777-2119
Mailing Address7901 BroadwayElmhurst, NY 11373-1329
Phone(631) 473-1320
Sole ProprietorNo
Enumeration DateApril 6, 2022
Last NPPES UpdateSeptember 8, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1376284828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 341483
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
75 N COUNTRY RD, Port Jefferson, NY 11777
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Secondary Practice Location 1

Location 1101 Nicolls RdStony Brook, NY 11794-0001 · Phone (631) 689-8333

Other Providers at the Same Location NPPES 20

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

JUSTINA CATHERINE MELLONE DO
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320
AAKAASH VARMA MD
Dermatology
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
KRISELA VOJNIKU MD
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
LORETTA DIDWELL
Physician Assistant
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320
RAYMOND WONG
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-7654
KATLYN ANN CONVILLE ANTHONY NP
Nurse Practitioner (Family)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2565
SHEHNAZ WASIM MD
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-1443
JULIA KOROBENKO DO
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549

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 Jawad Shabani's NPI number?

The NPI number for Jawad Shabani is 1376284828. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Jawad Shabani located?

Jawad Shabani practices at 75 N Country Rd, Port Jefferson, NY 11777. The listed phone number is (631) 473-1320.

What is Jawad Shabani's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jawad Shabani was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.