Organization Active NPI

Nitin D Sheth Surgeon PC

  • Surgery Physician
  • New York, NY
National Provider Identifier
1598093106
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
155216 Issued in NY
Legal business name
NITIN D SHETH SURGEON PC
Practice address
303 2ND Ave
Suite 20
New York, NY 10003-2739
Phone
(212) 780-0566
NPI assigned
Nov 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Authorized official

Name
Nitin D Sheth, MDNPI 1023042132
Title
MD
Phone
(212) 780-0566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 155216 NY Primary

Addresses

Primary practice location

303 2ND Ave
Suite 20
New York, NY 10003-2739

Mailing address

303 2ND Ave
Suite 20
New York, NY 10003-2739
Phone (212) 780-0566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091207000401 NY Part B Supplier - Clinic/Group Practice 9931248838 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

305 2nd Ave
Ste 20
New York, NY 10003
Phone (212) 228-5010

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1598093106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 2ND AVE",
            "address_2": "SUITE 20",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032739",
            "telephone_number": "212-780-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 2ND AVE",
            "address_2": "SUITE 20",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032739",
            "telephone_number": "212-780-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NITIN D SHETH SURGEON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "NITIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "212-780-0566",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "155216",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.