Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Good Shepherd Primary Care PC

Organization Internal Medicine Physician · NPI 1649795394

Good Shepherd Primary Care PC is an Internal Medicine Physician in Farmingdale, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1111 Route 110
Farmingdale, NY 11735-4820
Phone: (516) 895-5050
Fax: (516) 895-5088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 475 Seaview Ave, Staten Island, NY 10305-3436 — (718) 226-9000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 267443 (NY)
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1649795394
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heba Zaher — Md · (516) 895-5050
NPI enumeratedAugust 3, 2017
Last updated in NPPESFebruary 14, 2024
Certification dateJuly 5, 2023
Mailing address1111 Route 110, Farmingdale, NY 11735-4820

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