Kumar Shah MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

139486 Issued in NY

Legal business name

KUMAR SHAH MD

Practice address

304 Livingston St
Apt 2B
Brooklyn, NY 11217-1034

Phone

(718) 222-1065

Fax

(215) 261-1529

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kumarpal A Shah, MDNPI 1093995524

Title

Physician in Practice

Phone

(718) 222-1065

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• KUMARPAL SHAH MD Other name

Practitioners 1

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

• Kumarpal Ambalal Shah, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Albertson, NY
  • NPI 1093995524
  NPD (past) Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1811033889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 LIVINGSTON ST",
            "address_2": "APT 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171034",
            "telephone_number": "718-222-1065",
            "fax_number": "215-261-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 LIVINGSTON ST",
            "address_2": "APT 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171034",
            "telephone_number": "718-222-1065",
            "fax_number": "215-261-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUMAR SHAH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KUMARPAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN IN PRACTICE",
        "authorized_official_telephone_number": "718-222-1065",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "139486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER NO",
            "identifier": "0021517",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770576",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6635785002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP PROVIDER ID NO",
            "identifier": "139486",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHELD PROVIDER NO",
            "identifier": "67A03",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2090111",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST PROVIDER ID",
            "identifier": "139486 B21",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KUMARPAL SHAH MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rosemary Kulp, L.C.S.W.
• Naa-Adjeley Ama Kuma, PHD
• Kuman Medical Supply, Inc
• Gaurav Kumania, OTR/L
• Svyatoslav Kumanovskiy, M.D.
• Ajay Kumar, M.D.
• Ameet Kumar, MD
• Brandy J Kumar
• Geetha Kumar, M.D.,
• Jatender Kumar, MD

• Endocrinology, Diabetes & Metabolism Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Endocrinology, Diabetes & Metabolism Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.