Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shaden Alfallay

Individual provider Internal Medicine Physician · NPI 1114389293

Shaden Alfallay is an Internal Medicine in Jamestown, New York. Qualified in 2012, 14 years ago. Practices with Great Lakes Physician Practice PC, a 143-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2016

Practice location Address checks out

15 S Main St Ste 150 Internal Medicine
Jamestown, NY 14701-6626
Phone: (716) 484-8610
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 301020 (NY)

Record details

NPI number1114389293
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 28, 2016
Last updated in NPPESJanuary 25, 2024
Certification dateMay 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Great Lakes Physician Practice Pc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Jamestown