Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Samuel Alfred Shahidi, MS, PA-C

Individual provider Surgical Physician Assistant · NPI 1922314632

Mr. Samuel Alfred Shahidi, MS, PA-C is a Physician Assistant in Bronx, New York. Graduated from Rutgers New Jersey Medical School in 2010, 16 years ago. Practices with Physician Affiliate Group of New York PC, a 1,224-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Trained at
Rutgers New Jersey Medical School
Licensed in
NY
In the registry since
2010
What do these letters mean?
MS — Master of Science
A graduate science degree.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

234 E 149th St
Bronx, NY 10451-5504
Phone: (718) 579-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 014108 (NY)

Record details

NPI number1922314632
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , PA-C
Sole proprietorYes
NPI enumeratedAugust 19, 2010
Last updated in NPPESAugust 19, 2010

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2010 (16 years in practice)
Group practice Physician Affiliate Group Of New York Pc — 1224 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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