Individual provider Active NPI

Sangita T Shah, M.D.

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1376510305
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
219414 Issued in NY
Practice address
2435 Jerome Ave
Bronx, NY 10468-6402
Phone
(718) 220-7677
Fax
(718) 220-7679
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 219414 NY Primary

Addresses

Primary practice location

2435 Jerome Ave
Bronx, NY 10468-6402

Mailing address

2435 Jerome Ave
Bronx, NY 10468-6464
Phone (718) 220-7677

Other practice location 1

651 Academy St
New York, NY 10034-5003
Phone (212) 569-2035

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
I20040511001125 NY Practitioner - Internal Medicine 9931198231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Sheldon Medical Care,PCGroup PAC ID 9537109640, 2 clinicians

Practice addresses (Care Compare)

2435 Jerome Ave
Bronx, NY 10468-6464
Phone (718) 220-7677

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30423IAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Sheldon Medical Care,PC Internal Medicine CurrentSince Jun 25, 2004 Accepting new patients
Sherman Medical Care, PC Internal Medicine PastSince Jul 1, 2023 Accepting new patients
TJH Medical Services, P.C. Internal Medicine Past Accepting new patients

Locations

651 Academy St
New York, NY 10034
Phone (212) 569-2035

Organizations & group practices 3

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1376510305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104686464",
            "telephone_number": "718-220-7677",
            "fax_number": "718-220-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104686402",
            "telephone_number": "718-220-7677",
            "fax_number": "718-220-7679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 Academy St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100345003",
            "country_code": "US",
            "telephone_number": "212-569-2035",
            "fax_number": "212-569-2037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SANGITA",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "219414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.