Individual provider Active NPI

Paresh C Shah, M.D.

  • Surgery Physician
  • New York, NY
National Provider Identifier
1508925991
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
233681 Issued in NY
Practice address
530 1St Ave FL 12
New York, NY 10016-6402
Phone
(212) 263-7302
Fax
(212) 263-7511
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 233681 NY Primary

Addresses

Primary practice location

530 1St Ave FL 12
New York, NY 10016-6402

Mailing address

530 1St Ave FL 12
New York, NY 10016-6402
Phone (212) 263-7302

Other practice location 1

110 E 59th St
Ste 8A
New York, NY 10022-1304
Phone (212) 434-3285

Other practice location 2

160 E 34th St
New York, NY 10016-4744
Phone (212) 731-6150

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pshah82142@nyumc.direct-ci.com Direct

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
I20060327000400 NY Practitioner - General Surgery 8820060239 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Sep 1, 2013 Accepting new patients
New York University Surgery CurrentSince Sep 1, 2013 Accepting new patients
The Rogosin Institute Inc PastSince Jun 1, 2025 Accepting new patients
New York University Surgery PastSince Apr 24, 2022 Accepting new patients

Locations

530 1st Ave
Fl 12
New York, NY 10016
Phone (212) 263-7302

160 E 34th St
New York, NY 10016
Phone (212) 731-5180

300 Community Dr
Plandome, NY 11030

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: pshah82142@nyumc.direct-ci.com

Organizations & group practices 4

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1508925991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 1ST AVE FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-7302",
            "fax_number": "212-263-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 1ST AVE FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-7302",
            "fax_number": "212-263-7511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 E 59th St",
            "address_2": "Ste 8A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100221304",
            "country_code": "US",
            "telephone_number": "212-434-3285",
            "fax_number": "212-434-3250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 E 34th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100164744",
            "country_code": "US",
            "telephone_number": "212-731-6150",
            "fax_number": "212-263-7511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PARESH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "233681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pshah82142@nyumc.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "110 E 59th St",
            "address_2": "Ste 8A",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100221304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.