Fawaz Shihadeh, DDS
NPI 1053815282 · Pediatric Dentistry · Bronx, NY
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fawaz Shihadeh, DDS is a Pediatric Dentistry provider in Bronx, NY (NPI 1053815282).
Provider details
- NPI number
- 1053815282
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 061580-01 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 55 Old Nyack Tpke Ste 109Nanuet, NY 10954-2449Phone: (845) 507-0100Fax: (845) 507-0110
- 243 North Rd Ste 102Poughkeepsie, NY 12601-1173Phone: (845) 454-3025Fax: (845) 454-3054
Registry dates
- Enumerated
- 2018-03-21
- Last updated
- 2021-09-14
- Certified
- 2021-09-14
Frequently asked questions
- What is Fawaz Shihadeh's NPI number?
- Fawaz Shihadeh's National Provider Identifier (NPI) is 1053815282, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fawaz Shihadeh's specialty?
- Fawaz Shihadeh is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Fawaz Shihadeh located?
- Fawaz Shihadeh's practice location on file with NPPES is 111 E 210th St, Bronx, NY 10467-2401.
- What is Fawaz Shihadeh's phone number?
- The practice phone number listed in the NPPES registry for Fawaz Shihadeh is (718) 920-4321.
- Does Fawaz Shihadeh accept Medicare?
- Fawaz Shihadeh is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Fawaz Shihadeh's NPI active?
- Yes — Fawaz Shihadeh's NPI (1053815282) is active in the NPPES registry as of the last update on 2021-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.