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DR. SHAMY BUSHRA FAZAL DPM
NPI 1811512361
Podiatrist - Sports Medicine in New York, NY

Active since June 10, 2020
210 E 86TH ST RM 402, NEW YORK, NY 10028(212) 628-4444 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Shamy Bushra Fazal Dpm NPPES

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

DR. SHAMY BUSHRA FAZAL DPM (NPI 1811512361) is an individual sports medicine provider in New York, New York, licensed in New York (071069-00) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1811512361
Entity TypeIndividualFemale
Primary Taxonomy213ES0000X
Provider Legal NameDR. SHAMY BUSHRA FAZALCredential: DPM
Location Address210 E 86TH ST RM 402New York, NY 10028-7726
Mailing Address201 E 86th St Ste 402New York, NY 10028-3023 · (212) 628-4444
Phone(212) 628-4444
Sole ProprietorYes
Enumeration DateJune 10, 2020
NPPES CertifiedJune 10, 2020
✔ NPI 1811512361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Sports MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0000X
License✔ Licensed in NY · 071069-00
210 E 86TH ST RM 402, New York, NY 10028
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Other Providers at the Same Location NPPES 2

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

KENNETH R. MEISLER DPM PLLC
Podiatrist
210 E 86TH ST RM 402
NEW YORK, NY 10028
New York County (126) 284-4442
KENNETH MEISLER DPM PLLC
Podiatrist (Foot & Ankle Surgery)
210 E 86TH ST RM 402
NEW YORK, NY 10028
New York County (718) 362-1651

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 Shamy Fazal's NPI number?

The NPI number for Shamy Fazal is 1811512361. It was assigned to this individual provider in the NPPES registry on June 10, 2020.

Where is Shamy Fazal located?

Shamy Fazal practices at 210 E 86th St Rm 402, New York, NY 10028. The listed phone number is (212) 628-4444.

What is Shamy Fazal's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Sports Medicine, with taxonomy code 213ES0000X.

When was this NPI record last updated?

The NPPES record for Shamy Fazal was last updated on June 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.