Individual provider Active NPI

Shreyans Neelesh Shah

  • Physical Therapist
  • Astoria, NY
National Provider Identifier
1740701069
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041599 Issued in NY
Practice address
2915 Astoria Blvd
Astoria, NY 11102-1741
Phone
(212) 742-8000
Fax
(212) 656-1091
NPI assigned
Jun 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 041599 NY Primary

Addresses

Primary practice location

2915 Astoria Blvd
Astoria, NY 11102-1741

Mailing address

30 Wall St Ste 500
New York, NY 10005-2206
Phone (212) 742-8000

Other practice location 1

232 E 66th St
New York, NY 10065-9100
Phone (212) 785-9620

Other practice location 2

30 Wall St Ste 500
New York, NY 10005-2206
Phone (212) 742-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041599NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740701069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WALL ST STE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052206",
            "telephone_number": "212-742-8000",
            "fax_number": "212-656-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021741",
            "telephone_number": "212-742-8000",
            "fax_number": "212-656-1091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232 E 66th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100659100",
            "country_code": "US",
            "telephone_number": "212-785-9620",
            "fax_number": "212-656-1091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Wall St Ste 500",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100052206",
            "country_code": "US",
            "telephone_number": "212-742-8000",
            "fax_number": "212-656-1091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHREYANS",
        "middle_name": "NEELESH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.