Mayank P Shah, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

171978 Issued in NY

Practice address

200 Ronald Reagan Blvd
Warwick, NY 10990

Phone

(845) 986-8670

Fax

(845) 987-1348

NPI assigned

Aug 24, 2006

Last updated

Nov 6, 2021By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mayank Shah Physician PC

  • Health Service Clinic/Center
  • Warwick, NY
  • NPI 1134516677
  NPD (past) Authorized official

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636156800000",
    "number": "1598872616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "10990",
            "telephone_number": "845-986-8670",
            "fax_number": "845-987-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RONALD REAGAN BLVD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "10990",
            "telephone_number": "845-986-8670",
            "fax_number": "845-987-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MAYANK",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2021-11-06",
        "certification_date": "2021-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "171978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01052813",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "18E961",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Anne Schaffer, FNP-C
• Dennis F Scharfenberger, MD
• Alexandra Scutaro, LMHC
• Patricia O'Keefe Seeberg, LCSW
• Karen Sene
• James A Shanahan, D.O.
• Eric James Silva, MD
• Gurpreet Singh, MD
• Kerryann Smith, RN
• Shauna Smith, COTA/L

• Internal Medicine Physician in Warwick, NY
• Providers in Warwick, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2021; 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.