Individual provider Active NPI

Shashi Patel, MD

  • Pulmonary Disease Physician
  • Far Rockaway, NY
National Provider Identifier
1306868161
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
122596 Issued in NY
Practice address
2915 Far Rockaway Blvd
Far Rockaway, NY 11691-1941
Phone
(718) 337-7000
Fax
(718) 327-8897
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 122596 NY Primary

Addresses

Primary practice location

2915 Far Rockaway Blvd
Far Rockaway, NY 11691-1941

Mailing address

1000 Zeckendorf Blvd
Garden City, NY 11530-2133
Phone (516) 542-6880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040910000822 NY Practitioner - Internal MedicinePractitioner - Pulmonary Disease 5597732578 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
VXL Medical Care PC Pulmonary Disease CurrentSince Apr 1, 2019 Accepting new patients
The Parkway Hospital Past Accepting new patients
Patelsriramanllp Pulmonary Disease PastSince Jul 1, 2004 Accepting new patients
Jian Cui, Dermatology, P.C. PastSince Apr 1, 2019 Accepting new patients
Raveena Medical PC Pulmonary Disease Past Accepting new patients

Locations

8720 Queens Blvd
Elmhurst, NY 11373
Phone (718) 672-2113

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306868161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ZECKENDORF BLVD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302133",
            "telephone_number": "516-542-6880",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 FAR ROCKAWAY BLVD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911941",
            "telephone_number": "718-337-7000",
            "fax_number": "718-327-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHASHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "122596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.