Tejal Shah, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

296211 Issued in NY

Practice address

380 Dogwood Ave
Franklin Square, NY 11010-3447

Phone

(516) 481-3660

NPI assigned

Jun 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: tejal.shah.1@29151.direct.athenahealth.com
• Direct secure messaging: tshah247943@nyumc.direct-ci.com

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.

• Allied Physicians Group, PLLC

  • Pediatrics Physician
  • Melville, NY
  • NPI 1396944799
  NPD (past)
• Nassau Pediatric Assoc. PC

  • Pediatric Hospice and Palliative Medicine Physician
  • Franklin Square, NY
  • NPI 1396967568
  NPD (past)

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540598400000",
    "number": "1346621869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14616 BLACKBURN RD",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208663113",
            "telephone_number": "240-305-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 DOGWOOD AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103447",
            "telephone_number": "516-481-3660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "259 1st St",
            "address_2": "Winthrop Univeristy Hospital- Pediatric Department",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115013957",
            "country_code": "US",
            "telephone_number": "240-305-1320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "TEJAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2018-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "296211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlene Seitz, LCSW
• Yvette Sencion, P.T.
• Stephanie Sepulveda
• Seven Hills Medical Services PC
• Krupi Shah, AUD
• Adeline Shahidi, RN
• Stuart Shapiro
• Patrick J Sheehan, D.D.S.
• Ann L Shortino, LCSW
• Ashley Elizabeth Siciliano

• Pediatrics Physician in Franklin Square, NY
• Providers in Franklin Square, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.