NPIMap

Organization Active NPI

Amit M. Shelat, Inc.

  • Neurology Physician
  • Jericho, NY
National Provider Identifier
1770911034
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
238794 Issued in NY
Legal business name
AMIT M. SHELAT, INC.
Practice address
21 Holiday Pond Rd
Jericho, NY 11753-1154
Phone
(516) 822-3917
Fax
(516) 932-0241
NPI assigned
Oct 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Authorized official

Name
Dr. Amit M Shelat, D.O.NPI 1861660987
Title
President
Phone
(516) 822-3917

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 238794 NY Primary

Addresses

Primary practice location

21 Holiday Pond Rd
Jericho, NY 11753-1154

Mailing address

21 Holiday Pond Rd
Jericho, NY 11753-1154
Phone (516) 822-3917

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1770911034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HOLIDAY POND RD",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531154",
            "telephone_number": "516-822-3917",
            "fax_number": "516-932-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HOLIDAY POND RD",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531154",
            "telephone_number": "516-822-3917",
            "fax_number": "516-932-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIT M. SHELAT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "SHELAT",
        "authorized_official_first_name": "AMIT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-822-3917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "238794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.