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

Mr. Shan Jaffery, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1558156323

Mr. Shan Jaffery, FNP-BC is a Nurse Practitioner in North Babylon, New York. Qualified in 2024, 2 years ago. Practices with Long Island Comprehensive Medical Care PLLC, a 41-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1231 Deer Park Ave
North Babylon, NY 11703-3104
Phone: (631) 667-0388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 356384 (NY)

Record details

NPI number1558156323
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedApril 11, 2025
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Long Island Comprehensive Medical Care Pllc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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