Individual provider Active NPI

Nand Shah, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1861178725
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009829 Issued in NY
Practice address
1797 Pitkin Ave
Brooklyn, NY 11212-7839
Phone
(718) 971-1944
Fax
(718) 971-1945
NPI assigned
Jun 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009829 NY Primary

Addresses

Primary practice location

1797 Pitkin Ave
Brooklyn, NY 11212-7839

Mailing address

5293 Covington Meadows Dr
Westerville, OH 43082
Phone (614) 390-1475

Other practice location 1

331 Knickerbocker Ave
Brooklyn, NY 11237-3601
Phone (718) 971-1944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250116003537 NY Practitioner - Optometry 5890223952 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doral Medical and Multi Specialty Facility LLCGroup PAC ID 9830528645, 53 clinicians

Practice addresses (Care Compare)

1797 Pitkin Ave
Suite 2
Brooklyn, NY 11212-7844
Phone (718) 971-1944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Doral Medical and Multi Specialty Facility LLC CurrentSince Jul 14, 2025 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Nov 15, 2024 Accepting new patients
Shakespeare Operating LLC CurrentSince Nov 15, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Nov 15, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Nov 15, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Nov 15, 2024 Accepting new patients
Doral Pharmacy LLC PastSince Jul 14, 2025 Accepting new patients

Locations

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1797 Pitkin Ave
Brooklyn, NY 11212
Phone (718) 367-2555

331 Knickerbocker Ave
Brooklyn, NY 11237
Phone (718) 971-1944

1797 Pitkin Ave
Ste 2
Brooklyn, NY 11212
Phone (718) 367-2555

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1861178725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5293 COVINGTON MEADOWS DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "43082",
            "telephone_number": "614-390-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112127839",
            "telephone_number": "718-971-1944",
            "fax_number": "718-971-1945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 Knickerbocker Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112373601",
            "country_code": "US",
            "telephone_number": "718-971-1944",
            "fax_number": "718-971-1945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NAND",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-26",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.