Individual provider Active NPI

Ruchi Shah, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1336585009
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
291717 Issued in NY
Practice address
57 W 57TH St Ste 912
New York, NY 10019-2829
Phone
(855) 767-7287
NPI assigned
May 21, 2013
Last updated
Sep 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 134984 CA
Psychiatry Physician 2084P0800X 291717 NY Primary

Addresses

Primary practice location

57 W 57TH St Ste 912
New York, NY 10019-2829

Mailing address

57 W 57TH St Ste 912
New York, NY 10019-2829
Phone (212) 337-0600

Other practice location 1

9500 Gilman Dr
9116A
LA Jolla, CA 92093-5004
Phone (858) 534-4040

Other practice location 2

2010 Atlantic Ave
Brooklyn, NY 11233-3163
Phone (646) 901-2129

Other practice location 3

177 E 122nd St Fl 2
New York, NY 10035-2906
Phone (212) 360-7116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
291717NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sus Mental Health Programs, Inc. Psychiatry Past Accepting new patients
Manhattan Psychiatric Associates, PLLC Psychiatry Past Accepting new patients
Palladia Inc PastSince Apr 7, 2024 Accepting new patients
Ucsd Past Accepting new patients
UC San Diego Health Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1336585009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST STE 912",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192829",
            "telephone_number": "212-337-0600",
            "fax_number": "646-687-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST STE 912",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192829",
            "telephone_number": "855-767-7287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Gilman Dr",
            "address_2": "9116A",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920935004",
            "country_code": "US",
            "telephone_number": "858-534-4040",
            "fax_number": "858-822-0231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112333163",
            "country_code": "US",
            "telephone_number": "646-901-2129",
            "fax_number": "718-493-6504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "177 E 122nd St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100352906",
            "country_code": "US",
            "telephone_number": "212-360-7116",
            "fax_number": "212-289-5651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RUCHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "134984",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "291717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.