Shukan Shah, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50055138 Issued in NY

Practice address

190 Cozine Ave
Brooklyn, NY 11207-8867

Phone

(718) 649-1398

NPI assigned

Aug 18, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cozine Dental Group PC

  • Dentist
  • Brooklyn, NY
  • NPI 1265790224

  General Practice

  NPD (past)
• Virendra Shah D.D.S. P.C.

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1427220474
  NPD (past)

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1578879201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 COZINE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112078867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 COZINE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112078867",
            "telephone_number": "718-649-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHUKAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "50055138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shefali Sanjay Shah
• Shilpa Shah, MHC - LP
• Shivani Shah, DMD
• Shreena Shah
• Shreya Shah, PT, DPT
• Shyam Shah, PA-C
• Sneh Shah
• Sneha S Shah, M.D.
• Sudha R Shah
• Sudhir Shah, M.D.

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.