Organization Active NPI

Shah Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • Bronx, NY
National Provider Identifier
1356217160
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SHAH PODIATRY PC
Practice address
1578 Williamsbridge Rd Apt 3a
Bronx, NY 10461-6268
Phone
(347) 270-5162
Fax
(347) 270-5163
NPI assigned
Oct 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Sadia Shah, DPMNPI 1750518130
Title
Owner
Phone
(191) 761-3162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1578 Williamsbridge Rd Apt 3a
Bronx, NY 10461-6268

Mailing address

1578 Williamsbridge Rd Apt 3a
Bronx, NY 10461-6268
Phone (347) 270-5162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260316001045 NY Part B Supplier - Clinic/Group Practice 5294218418 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, NY; Sayville, NY; Jackson Heights, NY; Forest Hills, NY; Brooklyn, NY; Bronx, NY

National Provider Directory

National Provider Directory

Locations

68 Westminster Rd
Brooklyn, NY 11218
Phone (718) 883-8844

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1356217160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1578 WILLIAMSBRIDGE RD APT 3A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104616268",
            "telephone_number": "347-270-5162",
            "fax_number": "347-270-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 WILLIAMSBRIDGE RD APT 3A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104616268",
            "telephone_number": "347-270-5162",
            "fax_number": "347-270-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SADIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "191-761-3162",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.