Organization Active NPI

Shah Plastic Surgery PLLC

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1073137790
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
SHAH PLASTIC SURGERY PLLC
Practice address
352 7TH Avenue, Unit 1503
New York, NY 10001
Phone
(914) 341-2702
NPI assigned
May 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Authorized official

Name
Nilay Shah, MDNPI 1043472368
Title
Owner
Phone
(914) 341-2702

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
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

352 7TH Avenue, Unit 1503
New York, NY 10001

Mailing address

550 W 54TH St Apt 30C
New York, NY 10019-6056

Other identifiers 1

IdentifierTypeStateIssuer
119551OtherNYLICENSE

National Provider Directory

National Provider Directory

Locations

352 7th Ave
Rm 1503
New York, NY 10001
Phone (646) 894-1830

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1073137790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W 54TH ST APT 30C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 7TH AVENUE, UNIT 1503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "914-341-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NILAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-341-2702",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "119551",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.