Organization Active NPI

Shah Medical Group LLP

  • Hematology & Oncology Physician
  • Plainview, NY
National Provider Identifier
1194816397
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
143360 Issued in NY
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

Updated by the provider on Oct 12, 2010

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 144360 NY
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 133617 NY
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 143360 NY Primary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.