Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Avinell Shane Abdool, PA-C

Individual provider Medical Physician Assistant · NPI 1558848572

Avinell Shane Abdool, PA-C is a Physician Assistant in Brooklyn, New York. Qualified in 2018, 8 years ago. Practices with North Shore Lij Urgent Care PC, a 395-clinician group and works from 2 locations. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

150 55th St
Brooklyn, NY 11220-2508
Phone: (718) 630-6497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 109-42-111th Street, South Ozone Park, NY 11420 — (917) 435-5003

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 022335 (NY)

Record details

NPI number1558848572
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 23, 2018
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice North Shore Lij Urgent Care Pc — 395 clinicians
Accepts Medicare assignment Not indicated
Practice locations16 on file with Medicare

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