Shiv N Rastogi, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

126652 Issued in NY

Practice address

400 Gidney Ave
Newburgh, NY 12550-3701

Phone

(845) 561-1609

Fax

(845) 561-0781

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hudson Valley Dermatology, P. C.

  • Dermatology Physician
  • Newburgh, NY
  • NPI 1417943861
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851450316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GIDNEY AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503701",
            "telephone_number": "845-561-1609",
            "fax_number": "845-561-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GIDNEY AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503701",
            "telephone_number": "845-561-1609",
            "fax_number": "845-561-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTOGI",
        "first_name": "SHIV",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "126652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00236237",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irene Ramos
• Vijayalakshmi Rampam, M.D
• Kelli C Ramsey
• Marc G Rappaport, DO
• Joshua Harry Raskin, DPM
• Kasun Buddhika Rathnayake Mudiyanselage I
• Laura Ann Rausenberger
• Ashikkumar A Raval, MD
• Hardip Raval, R.PH.
• Manish Ambalal Raval, MD

• Family Medicine Physician in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Family Medicine Physician in New York

• 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.

Verify at the official NPI Registry.