Haresh D Shah, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

036306 Issued in NY

Practice address

87-34 Parson Blvd
Jamaica, NY 11432-3317

Phone

(718) 739-4845

Fax

(718) 739-1272

NPI assigned

May 8, 2006

Last updated

Apr 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1508815507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25710 UNION TPKE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041256",
            "telephone_number": "718-343-7700",
            "fax_number": "718-343-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87-34 PARSON BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323317",
            "telephone_number": "718-739-4845",
            "fax_number": "718-739-1272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7043 Parsons Blvd",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113653049",
            "country_code": "US",
            "telephone_number": "718-395-3222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HARESH",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "036306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mazol Sezanayeva
• Leanna Shaakov
• Lilia Shaban, M.D.
• Shayla Shachi, MD
• Darshini Pragnesh Shah, DDS
• Jyoti Shah, M.D.
• Keyur N Shah, B.S.
• Sejal U Shah, DDS
• Siddharth Shah
• Syed Fahad Shah, MD

• Dentist in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.