N K Shah Medical PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

N K SHAH MEDICAL PC

Practice address

20507 Hillside Ave Ste 12
Hollis, NY 11423-2220

Phone

(718) 464-6700

Fax

(718) 464-8100

NPI assigned

May 31, 2013

Last updated

Apr 9, 2021By 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. Nimesh K Shah, MDNPI 1871674051

Title

Owner

Phone

(718) 464-6700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

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.

• Nimesh Kesharichard Shah, MD

  • Nephrology Physician
  • Hollis, NY
  • NPI 1871674051

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Lyudmila Fuzaylova, FNP

  • Family Nurse Practitioner
  • Flushing, NY
  • NPI 1083013197
  Medicare reassignment NPD
• Shiji Joseph

  • Adult Health Nurse Practitioner
  • Rockville Centre, NY
  • NPI 1528882321
  Medicare reassignment NPD
• Ancy Thomas, NP

  • Family Nurse Practitioner
  • Garden City, NY
  • NPI 1437971967
  Medicare reassignment NPD
• Dipesh K. Shah

  • Pharmacist
  • Queens Village, NY
  • NPI 1033366588
  NPD (past)

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1720425770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20507 HILLSIDE AVE STE 12",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232220",
            "telephone_number": "718-464-6700",
            "fax_number": "718-464-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20507 HILLSIDE AVE STE 12",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232220",
            "telephone_number": "718-464-6700",
            "fax_number": "718-464-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8637 RANGE STREET",
            "address_purpose": "LOCATION",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "11427",
            "country_code": "US",
            "telephone_number": "718-766-9845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "N K SHAH MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NIMESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-464-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ella Murdakhayeva, RPH
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• Ahsan Nazir, M.D.
• Keisha Nelson
• New Hollis Inc (Hollis Pharmacy)
• New Stage Pharmacy Inc (Franhill Drugs)
• New Stage Pharmacy Inc

• Nephrology Physician in Hollis, NY
• Providers in Hollis, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.