Organization Active NPI

Medical Diagnostic Services PC

  • Neurology Physician
  • Tarrytown, NY
National Provider Identifier
1629409933
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
227852 Issued in NY
Legal business name
MEDICAL DIAGNOSTIC SERVICES PC
Practice address
520 White Plains Rd Ste 500
Tarrytown, NY 10591-5118
Phone
(866) 335-4040
Fax
(800) 362-2262
NPI assigned
Dec 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Dr. Nilay Shah, M.D.
Title
Ceo
Phone
(866) 335-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 227852 NY Primary

Addresses

Primary practice location

520 White Plains Rd Ste 500
Tarrytown, NY 10591-5118

Mailing address

520 White Plains Rd Ste 500
Tarrytown, NY 10591-5118
Phone (866) 335-4040

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1629409933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WHITE PLAINS RD STE 500",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915118",
            "telephone_number": "866-335-4040",
            "fax_number": "800-362-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 WHITE PLAINS RD STE 500",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915118",
            "telephone_number": "866-335-4040",
            "fax_number": "800-362-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIAGNOSTIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NILAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-335-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "227852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.