Anjali Shah MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

233116 Issued in NY

Legal business name

ANJALI SHAH MD PC

Practice address

169 N Plank Rd
Newburgh, NY 12550-1723

Phone

(845) 563-9055

Fax

(845) 917-9077

NPI assigned

Feb 8, 2016

Last updated

Feb 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anjali N Shah, MDNPI 1831101757

Title

Owner

Phone

(845) 563-9055

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anjali N Shah, MD

  • Family Medicine Physician
  • Newburgh, NY
  • NPI 1831101757
  Authorized official Same address or phone

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1649638446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 N PLANK RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501723",
            "telephone_number": "845-563-9055",
            "fax_number": "845-917-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 N PLANK RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501723",
            "telephone_number": "845-563-9055",
            "fax_number": "845-917-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANJALI SHAH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ANJALI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-563-9055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "233116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02593199",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ellen Anderson, MS, CCC-SLP
• Andrew R Resler Dr
• Peter Joseph Anello, PT
• Prasad V Angara, MD
• Stephen A Angelone, DC
• Juliet Ansah, NP
• Brielle Joy Antonelli
• Tereza Antonios, OD
• Amber Antonucci, R.N.
• Liza Antony, M.D.

• Family Medicine Physician in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.