NPIMap

Organization Active NPI

Sheldon Medical Care,PC

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1013900463
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SHELDON MEDICAL CARE,PC
Practice address
2435 Jerome Ave
Bronx, NY 10468-6402
Phone
(718) 220-7677
Fax
(718) 220-7679
NPI assigned
Aug 31, 2005
Last updated
Feb 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tushar L Shah, MDNPI 1548237571
Title
President
Phone
(718) 220-7677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2435 Jerome Ave
Bronx, NY 10468-6402

Mailing address

115 Bramblebrook Rd
Ardsley, NY 10502-2206
Phone (718) 220-7677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050509000545 NY Part B Supplier - Clinic/Group Practice 9537109640 Receives reassigned benefits from 12 practitioners
Practice locations: New York, NY; Bronx, NY

National Provider Directory

National Provider Directory

Locations

231 Sherman Ave
Apt 1F
New York, NY 10034
Phone (212) 567-4770

3668 Broadway
New York, NY 10031
Phone (212) 569-2035

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1013900463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BRAMBLEBROOK RD",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105022206",
            "telephone_number": "718-220-7677",
            "fax_number": "718-220-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104686402",
            "telephone_number": "718-220-7677",
            "fax_number": "718-220-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELDON MEDICAL CARE,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "TUSHAR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-220-7677",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.