Mayank Shah Physician PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

171978 Issued in NY

Legal business name

MAYANK SHAH PHYSICIAN PC

Practice address

200 Ronald Reagan Blvd
Warwick, NY 10990-4107

Phone

(845) 986-8670

Fax

(845) 987-1348

NPI assigned

Apr 22, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mayank Prataprai ShahNPI 1598872616

Title

President

Phone

(845) 986-8670

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mayank P Shah, MD

  • Internal Medicine Physician
  • Warwick, NY
  • NPI 1598872616
  NPD (past) Authorized official

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1134516677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RONALD REAGAN BLVD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109904107",
            "telephone_number": "845-986-8670",
            "fax_number": "845-987-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RONALD REAGAN BLVD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109904107",
            "telephone_number": "845-986-8670",
            "fax_number": "845-987-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYANK SHAH PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MAYANK",
        "authorized_official_middle_name": "PRATAPRAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-986-8670",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "171978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Anne Martin, O.T.R.L
• Anthony J Martini, MD
• Maryann Ryan, Nurse Practitioner of Psychiatry
• Syed Masihuddin, DDS
• Stephanie Mathelier, MS, LMFT
• Lynn McCafferty-Algiere, M.S,, CCC/SLP
• Mary McConnell, LPN
• Erin McCutchan
• Owen McShane, DDS
• Victoria A Meehan, OTR/L

• Health Service Clinic/Center in Warwick, NY
• Providers in Warwick, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.