Individual ProviderEsther Roshan ShadPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address5601 1st Ave, Brooklyn, NY 11220-2517(718) 942-3888PECOS EnrollmentBased on the most recent information from CMS, provider Esther Roshan Shad is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1891192092Provider TypeIndividualFull NameRoshan Shad, EstherCredentialMS, PA-CGenderFemaleSole ProprietorNoEnumeration Date12/3/2014Last Updated1/3/2022Contact InformationPractice LocationPractice Address5601 1st Ave, Brooklyn, NY 11220-2517Phone(718) 942-3888FaxUnlisted FaxMailing LocationMailing Address5601 1st Ave, Brooklyn, NY 11220-2517Phone(718) 942-3888FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense018102New YorkCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense164119New York