Active NPI
Vijay P Shah, M.D.
- Hematology (Pathology) Physician
- New York, NY
National Provider Identifier
1558360495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology (Pathology) Physician
- License
- 119384
- Practice address
- 10 Nathan D Perlman Place
Suite 12S34
New York, NY 10003-3851 - Phone
- (212) 420-2124
- Fax
- (212) 420-3449
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 119384 | NY | |
| Hematology (Pathology) Physician | 207ZH0000X | 119384 | NY | Primary |
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 119384 | NY |
Addresses
Primary practice location
10 Nathan D Perlman Place
Suite 12S34
New York, NY 10003-3851
Mailing address
1900 Hempstead Tpke
Suite 500
East Meadow, NY 11554-1724
Phone (516) 542-1090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A400061684 | Other | NY | NGS |
| 01014216 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329696000000",
"number": "1558360495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 HEMPSTEAD TPKE",
"address_2": "SUITE 500",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115541724",
"telephone_number": "516-542-1090",
"fax_number": "770-666-9097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 NATHAN D PERLMAN PLACE",
"address_2": "SUITE 12S34",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033851",
"telephone_number": "212-420-2124",
"fax_number": "212-420-3449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "VIJAY",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2012-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "119384",
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "NY",
"license": "119384",
"primary": true
},
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "NY",
"license": "119384",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NGS",
"identifier": "A400061684",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01014216",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.