Shouron Helena Ghassemlou, MD - Medicare Obstetrics/gynecology in Staten Island, NY

Shouron Helena Ghassemlou, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Staten Island, New York. She went to Medical College Of Georgia School Of Medicine and graduated in 2021 and has 5 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Amboy Medical Practice Pc and her current practice location is 355 Bard Avenue, Department Of Medicine Villa Bldg 1st Floor, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 818-2419.

Shouron Helena Ghassemlou is licensed to practice in New York (license number 339768-01) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316511694.

Contact Information

Shouron Helena Ghassemlou, MD
355 Bard Avenue, Department Of Medicine Villa Bldg 1st Floor,
Staten Island, NY 10310
(718) 818-2419
Not Available

Map and Direction




Physician's Profile

Full NameShouron Helena Ghassemlou
GenderFemale
SpecialityObstetrics/gynecology
Experience5 Years
Location355 Bard Avenue, Staten Island, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shouron Helena Ghassemlou attended and graduated from Medical College Of Georgia School Of Medicine in 2021
  NPI Data:
  • NPI Number: 1316511694
  • Provider Enumeration Date: 05/19/2021
  • Last Update Date: 12/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7810473576
  • Enrollment ID: I20260113000140

Medical Identifiers

Medical identifiers for Shouron Helena Ghassemlou such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316511694NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 339768-01 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Amboy Medical Practice Pc2860538170180

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shouron Helena Ghassemlou is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shouron Helena Ghassemlou, MD
355 Bard Avenue, Department Of Medicine Villa Bldg 1st Floor,
Staten Island, NY 10310

Ph: () -
Shouron Helena Ghassemlou, MD
355 Bard Avenue, Department Of Medicine Villa Bldg 1st Floor,
Staten Island, NY 10310

Ph: (718) 818-2419

Reviews and Comments


Obstetrics & Gynecology Doctors in Staten Island, NY

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Micheal L Moretti, MD
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Dr. Sabia Iram Akbar, DO
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Leonard J Emma, MD
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Phone: 914-305-4633    Fax: 914-305-5587
Dr. Alecia M Giovinazzo, MD
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Medicare: May Accept Medicare Assignments
Practice Location: 450 Slosson Ave, Staten Island, NY 10314
Phone: 718-494-2690    Fax: 718-477-1311
Arkadiy Kusayev, DO
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 475 Seaview Ave Fl 2, Staten Island, NY 10305
Phone: 718-226-8074    

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