Shailja Dilip Mukhtyar, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

266629 Issued in NY

Practice address

625 E Fordham Rd
Bronx, NY 10458-5049

Phone

(914) 633-4354

Fax

(718) 823-3926

NPI assigned

Sep 20, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excel Urgent Care of Nesconset PLLCGroup PAC ID 5092985986, 17 clinicians

Excel Urgent Care of East Northport PLLCGroup PAC ID 5294909826, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Excel Urgent Care of East Northport, PLLC

  • Urgent Care Clinic/Center
  • East Northport, NY
  • NPI 1881978021
  Medicare reassignment Care Compare group NPD
• Excel Urgent Care of Nesconset, PLLC

  • Urgent Care Clinic/Center
  • Nesconset, NY
  • NPI 1851679252
  Medicare reassignment Care Compare group NPD
• Excel Urgent Care of Fishkill PLLC

  • Urgent Care Clinic/Center
  • Fishkill, NY
  • NPI 1720228067
  Medicare reassignment NPD
• Healthcare for All Women OBGYN PLLC

  • Obstetrics & Gynecology Physician
  • Ozone Park, NY
  • NPI 1053651208
  Medicare reassignment NPD
• 1211 WPR Medical Services PC

  dba Parkchester Medical Services of NY, PC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1437247509
  NPD
• Chenango Memorial Hospital, Inc.

  • Family Medicine Physician
  • Norwich, NY
  • NPI 1467526889
  NPD (past)
• Dilip Mukhtyar MD,PC

  • General Acute Care Hospital
  • Bronx, NY
  • NPI 1477828960
  NPD (past)
• Fishkill Pharmacy LLC

  dba The Medicine Shoppe Pharmacy

  • Community/Retail Pharmacy
  • Fishkill, NY
  • NPI 1427308188
  NPD (past)
• Sarita Khatri MD OB-GYN PC

  • Gynecology Physician
  • Fresh Meadows, NY
  • NPI 1942689021
  NPD (past)

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1881945665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585049",
            "telephone_number": "914-633-4354",
            "fax_number": "718-823-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585049",
            "telephone_number": "914-633-4354",
            "fax_number": "718-823-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKHTYAR",
        "first_name": "SHAILJA",
        "middle_name": "DILIP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "266629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amrita Mukherji, MD
• Pinaki Mukherji, MD
• Iman Mukhtar, MD
• Inas Maowia Mohamed Mukhtar, MBBS
• Sonia Mukhtar, MD
• Usha D Mukhtyar, MD
• Illona Mulady
• Salomon Markovich Mulakandov, P.A.-C
• Kathlyn Virginia Mulcahy-Morgan, LMSW
• Daniel James Mulcahy

• Family Medicine Physician in Bronx, NY
• Providers in Bronx, 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 Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.