Individual provider Active NPI

Mahendra Manilal Shah, MD

  • Medical Oncology Physician
  • Hastings on Hudson, NY
National Provider Identifier
1538449392
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
119382-1 Issued in NY
Practice address
59 Donald Dr
Hastings on Hudson, NY 10706-3623
Phone
(914) 478-4479
Fax
(914) 478-4479
NPI assigned
Aug 25, 2011
Last updated
Aug 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 119382-1 NY Primary

Addresses

Primary practice location

59 Donald Dr
Hastings on Hudson, NY 10706-3623

Mailing address

59 Donald Dr
Hastings on Hudson, NY 10706-3623
Phone (914) 478-4479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
119382-1NYMDMedical Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1538449392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 DONALD DR",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107063623",
            "telephone_number": "914-478-4479",
            "fax_number": "914-478-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 DONALD DR",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107063623",
            "telephone_number": "914-478-4479",
            "fax_number": "914-478-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MAHENDRA",
        "middle_name": "MANILAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NY",
            "license": "119382-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.