Active NPI
Nidhi Madhusudan Shah
- Physical Therapist
- Yonkers, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 043760-1
- Practice address
- 1254 Central Park Avenue
Suite 3
Yonkers, NY 10704-1059 - Phone
- (914) 294-0080
- Fax
- (914) 294-0079
- NPI assigned
- May 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 043760-1 | NY | Primary |
Addresses
Primary practice location
1254 Central Park Avenue
Suite 3
Yonkers, NY 10704-1059
Mailing address
1254 Central Park Avenue
Suite 3
Yonkers, NY 10704-1059
Phone (914) 294-0080
Other practice location 1
1019 Yonkers Avenue
Yonkers, NY 10704
Phone (914) 294-0080
Other practice location 2
1254 Central Park Ave Ste 3
Yonkers, NY 10704-1059
Phone (914) 294-0080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1019 Yonkers Ave
Yonkers, NY 10704-3070
Phone (612) 644-9447
961 E 174TH St
Suite 42
Bronx, NY 10460-5059
Phone (914) 234-8541
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043760 | NY | MD | General Practice Dentistry |
| 043760-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Therapycare PT Services PLLC | Physical Therapist | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients |
Locations
961 E 174th St
Ste 42
Bronx, NY 10460
Phone (914) 234-8541
312 E 204th St
Bronx, NY 10467
Phone (914) 234-8534
4446 Broadway
New York, NY 10040
Phone (212) 567-6000
1019 Yonkers Ave
Yonkers, NY 10704
Phone (612) 644-9447
1254 Central Park Ave
Ste 3
Yonkers, NY 10704
Phone (914) 234-8530
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
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.
-
- Physical Therapist
- Yonkers, NY
- NPI 1598150567
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Family Medicine Physician
- New York, NY
- NPI 1760288278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1548827652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1254 CENTRAL PARK AVENUE",
"address_2": "SUITE 3",
"city": "YONKERS",
"state": "NY",
"postal_code": "107041059",
"telephone_number": "914-294-0080",
"fax_number": "914-294-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1254 CENTRAL PARK AVENUE",
"address_2": "SUITE 3",
"city": "YONKERS",
"state": "NY",
"postal_code": "107041059",
"telephone_number": "914-294-0080",
"fax_number": "914-294-0079"
}
],
"practiceLocations": [
{
"address_1": "1019 Yonkers Avenue",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "10704",
"country_code": "US",
"telephone_number": "914-294-0080",
"fax_number": "914-294-0079",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1254 Central Park Ave Ste 3",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107041059",
"country_code": "US",
"telephone_number": "914-294-0080",
"fax_number": "914-294-0079",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "NIDHI",
"middle_name": "MADHUSUDAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-23",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "043760-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.