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Ismail Medicine, Pllc

Q: What type of organization is Ismail Medicine, Pllc?

Ismail Medicine, Pllc is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).

Pediatrics Physician in Fayetteville, NY · enumerated 2024 · authorized official Shareen Ismail, Medical Director.

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

National Provider Identifier

1770317166

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Registry record

Entity type Organization (Type 2)

Legal business name Ismail Medicine, Pllc

Practice address 8016 E Genesee St, Fayetteville, NY, 13066

Phone (315) 569-1612

Enumeration date Aug 28, 2024

Last updated in NPPES Aug 28, 2024

Taxonomy & classification

103TC2200X Clinical Child & Adolescent Psychologist Behavioral Health & Social Service Providers Secondary

111NP0017X Pediatric Chiropractor Chiropractic Providers Secondary

1223P0221X Pediatric Dentistry Dental Providers Secondary

133VN1004X Pediatric Nutrition Registered Dietitian Dietary & Nutritional Service Providers Secondary

171100000X Acupuncturist Other Service Providers Secondary

202D00000X Integrative Medicine Physician Allopathic & Osteopathic Physicians Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

2080P0006X Developmental - Behavioral Pediatrics Physician Allopathic & Osteopathic Physicians Secondary

2080P0204X Pediatric Emergency Medicine (Pediatrics) Physician Allopathic & Osteopathic Physicians Secondary

2080P0216X Pediatric Rheumatology Physician Allopathic & Osteopathic Physicians Secondary

2085U0001X Diagnostic Ultrasound Physician Allopathic & Osteopathic Physicians Secondary

2251P0200X Pediatric Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

225700000X Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

225XP0200X Pediatric Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

2278P3900X Neonatal/Pediatric Certified Respiratory Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

Authorized official

Name Shareen Ismail

Title Medical Director

Phone (315) 569-1612

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

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Ismail Medicine, Pllc?

Ismail Medicine, Pllc is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-28.