Individual provider Active NPI

Sachin N. Shah, M.D.

  • Neurological Surgery Physician
  • Rockville Centre, NY
National Provider Identifier
1689858425
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
260301 Issued in NY
Practice address
100 Merrick Rd
Suite 128W
Rockville Centre, NY 11570-4800
Phone
(516) 255-9031
NPI assigned
Dec 27, 2007
Last updated
Feb 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 260301 NY Primary

Addresses

Primary practice location

100 Merrick Rd
Suite 128W
Rockville Centre, NY 11570-4800

Mailing address

100 Merrick Rd
Suite128W
Rockville Centre, NY 11570-4800
Phone (516) 255-9031

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20111005000397 NY Practitioner - Neurosurgery 0446422943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Miami, LM Miller School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurological Surgery Practice of Long Island PLLCGroup PAC ID 0345131785, 14 clinicians

Practice addresses (Care Compare)

100 Merrick Rd
128W
Rockville Centre, NY 11570-4821
Phone 516442346110

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion35
Laminectomy or laminotomy (partial removal of spine bones)21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
260301NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Surgery Practice of Long Island PLLC Neurological Surgery CurrentSince May 22, 2017 Accepting new patients
NSPC Plastics PastSince May 22, 2017 Accepting new patients
Mercy Medical Center Past Accepting new patients

Locations

4230 Hempstead Tpke
Ste 205
Bethpage, NY 11714
Phone (516) 605-2720

100 Merrick Rd
Ste 100W
Rockville Ctr, NY 11570
Phone (516) 632-7050

100 Merrick Rd
Ste 128W
Rockville Ctr, NY 11570
Phone (516) 255-9031

Interoperability endpoints

  • Direct secure messaging: sshah307854@nyumc.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1689858425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MERRICK RD",
            "address_2": "SUITE128W",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704800",
            "telephone_number": "516-255-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERRICK RD",
            "address_2": "SUITE 128W",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704800",
            "telephone_number": "516-255-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SACHIN",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "260301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.