Active NPI
D.K. Shah MD, P.C.
- Internal Medicine Physician
- Kingston, NY
National Provider Identifier
1508820309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- D.K. SHAH MD, P.C.
- Doing business as
- GRAND STREET MEDICAL ASSOCIATES
- Practice address
- 27 Grand St
Kingston, NY 12401-3933 - Phone
- (845) 338-1535
- Fax
- (845) 334-9879
- NPI assigned
- Apr 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dushantkumar K Shah, M.D.
- Title
- President / Ceo
- Phone
- (845) 338-1535
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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Gastroenterology Physician | 207RG0100X | |||
| Hematology & Oncology Physician | 207RH0003X | |||
| Nephrology Physician | 207RN0300X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Ophthalmology Physician | 207W00000X |
Addresses
Primary practice location
27 Grand St
Kingston, NY 12401-3933
Mailing address
27 Grand St
Kingston, NY 12401-3933
Phone (845) 338-1535
Other names 1
- GRAND STREET MEDICAL ASSOCIATES
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Kingston, NY
- NPI 1669437877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200528000000",
"number": "1508820309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 GRAND ST",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124013933",
"telephone_number": "845-338-1535",
"fax_number": "845-334-9879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 GRAND ST",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124013933",
"telephone_number": "845-338-1535",
"fax_number": "845-334-9879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D.K. SHAH MD, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-17",
"last_updated": "2008-01-17",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "DUSHANTKUMAR",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT / CEO",
"authorized_official_telephone_number": "845-338-1535",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GRAND STREET MEDICAL ASSOCIATES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.