Active NPI
Shah Medical Group LLP
- Hematology & Oncology Physician
- Plainview, NY
National Provider Identifier
1194816397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 143360
- Legal business name
- SHAH MEDICAL GROUP LLP
- Practice address
- 528 Old Country Road
Plainview, NY 11803-4997 - Phone
- (516) 822-4706
- Fax
- (516) 822-1373
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Surendralal G. Shah, MD
- Title
- MD
- Phone
- (516) 822-4706
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 144360 | NY | |
| Internal Medicine Physician | 207R00000X | 133617 | NY | |
| Hematology & Oncology Physician | 207RH0003X | 143360 | NY | Primary |
| Nephrology Physician | 207RN0300X | 133617 | NY |
Addresses
Primary practice location
528 Old Country Road
Plainview, NY 11803-4997
Mailing address
528 Old Country Road
Plainview, NY 11803-4997
Phone (516) 822-4706
Other names 1
- Surendra and Mrudula Shah
National Provider Directory
National Provider DirectoryLocations
528 Old Country Rd
Plainview, NY 11803
Phone (516) 822-4706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286841600000",
"number": "1194816397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 OLD COUNTRY ROAD",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118034997",
"telephone_number": "516-822-4706",
"fax_number": "516-822-1373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528 OLD COUNTRY ROAD",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118034997",
"telephone_number": "516-822-4706",
"fax_number": "516-822-1373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAH MEDICAL GROUP LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2010-10-12",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "SURENDRALAL",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "516-822-4706",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "144360",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "133617",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "143360",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "133617",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Surendra and Mrudula Shah",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.