Active NPI
Darshan T Shah, MD
- Cardiovascular Disease Physician
- Brooklyn, NY
National Provider Identifier
1790848083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 128759
- Practice address
- 796 Drew Street
Suite a
Brooklyn, NY 11208-4704 - Phone
- (718) 827-7654
- Fax
- (718) 235-6425
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 128759 | NY | Primary |
Addresses
Primary practice location
796 Drew Street
Suite a
Brooklyn, NY 11208-4704
Mailing address
238 Brookville Road
Darshan Shah MD Muttontown
Glenhead, NY 11545-3310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00383688 | Medicaid | NY |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128759 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790848083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 BROOKVILLE ROAD",
"address_2": "DARSHAN SHAH MD MUTTONTOWN",
"city": "GLENHEAD",
"state": "NY",
"postal_code": "115453310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "796 DREW STREET",
"address_2": "SUITE A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112084704",
"telephone_number": "718-827-7654",
"fax_number": "718-235-6425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "DARSHAN",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "128759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00383688",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.