Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Gennadiy Shamalov, PA

Surgical Physician Assistant in Briarwood, NY · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174670319

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Registry record

Entity type Individual (Type 1)

Name Gennadiy Shamalov

Credential PA

Sex Male

Practice address Briarwood, NY, 11435

Phone (917) 709-4733

Enumeration date Jan 3, 2007

Last updated in NPPES Sep 25, 2012

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 008219-1 (NY) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1174670319 active?

Yes, as of the latest NPPES snapshot, NPI 1174670319 is active (record last updated 2012-09-25).

How do I verify Gennadiy Shamalov's NPI record?

Cross-check NPI 1174670319 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-09-25.