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

Dr. Shafi Wani, MD

Individual provider Specialist · NPI 1114920436

Dr. Shafi Wani, MD is a Neurology in Stony Brook, New York. Qualified in 1964, 62 years ago. Practices as a sole proprietor and offers telehealth. Licensed in New York.

Years since qualifying
62
Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 Nesconset Hwy Bldg 15H
Stony Brook, NY 11790-2554
Phone: (631) 689-3005
Fax: (631) 689-1750
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 111748 (NY)

Record details

NPI number1114920436
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 31, 2005
Last updated in NPPESFebruary 3, 2015
Mailing address2500 Nesconset Hwy, Bldg 15h, Stony Brook, NY 11790-2554

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Also practisesPAIN MANAGEMENT, PSYCHIATRY
Medical schoolOTHER
Graduated 1964 (62 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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