Vijay Shah, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

200342 Issued in NY

Practice address

444 W Main St
Patchogue, NY 11772-3012

Phone

(718) 204-0414

Fax

(718) 204-7470

NPI assigned

Jun 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Hematology/Oncology

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

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.

• Vijay Shah Physician PC

  • Hematology & Oncology Physician
  • Williston Park, NY
  • NPI 1073892337
  Medicare reassignment NPD Authorized official
• Advantagecare Physicians PC

  • General Practice Physician
  • New York, NY
  • NPI 1336578772
  Medicare reassignment NPD
• Advantagecare Physicians PC

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1063954113
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wsnchs North, Inc.

  • General Acute Care Hospital
  • Bethpage, NY
  • NPI 1013998426
  Care Compare affiliation

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1609817428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 GORDON DR",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961512",
            "telephone_number": "718-204-0414",
            "fax_number": "718-204-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W MAIN ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723012",
            "telephone_number": "718-204-0414",
            "fax_number": "718-204-7470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Froehlich Farm Blvd",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NY",
            "postal_code": "117972922",
            "country_code": "US",
            "telephone_number": "516-364-5400",
            "fax_number": "516-677-3656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VIJAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "200342",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "200342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01642713",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Shadbolt, PHARMD
• Girish J Shah, DDS
• Jitendra A Shah, M.D.
• Panna Shah, M.D.
• Sandeep A Shah
• Shahin Firoz Shaikh, MD
• Anthony J Shallash, MD
• David Lee Shapiro, D.C.
• Aman Sharma
• Sharon a. Pollick, DMD PC

• Hematology & Oncology Physician in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Hematology & Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.