V Shukla M.D. PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

V SHUKLA M.D. PLLC

Practice address

150 Lockwood Ave Ste 30
New Rochelle, NY 10801-4914

Phone

(914) 636-2615

NPI assigned

May 23, 2023

Organization subpart

No

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

Authorized official

Name

Vaishalee Shukla, MDNPI 1710138433

Title

Physician

Phone

(914) 636-2615

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Vaishalee Ramesh Shukla, M.D.

  • Internal Medicine Physician
  • New Rochelle, NY
  • NPI 1710138433

  NY

  Medicare reassignment NPD Authorized official
• Rachana Ramesh Shukla, MD

  • Internal Medicine Physician
  • New Rochelle, NY
  • NPI 1194064717
  NPD

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1316639800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LOCKWOOD AVE STE 30",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014914",
            "telephone_number": "914-636-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LOCKWOOD AVE STE 30",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014914",
            "telephone_number": "914-636-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V SHUKLA M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "SHUKLA",
        "authorized_official_first_name": "VAISHALEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "914-636-2615",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tasios G. Vakkas, D.D.S., M.D.
• Mariana Yelise Valdez Thomas, MD
• Erin Jennings Valentinetti, MS, RD, CSO, CDN
• Daniel Van Bergen

• All providers in New Rochelle, NY
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.