1561 Westchester Avenue Medical Offices, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

154855 Issued in NY

Legal business name

1561 WESTCHESTER AVENUE MEDICAL OFFICES, PLLC

Practice address

1561 Westchester Ave
Bronx, NY 10472-2912

Phone

(718) 842-8900

Fax

(718) 589-7952

NPI assigned

Jul 6, 2009

Last updated

Jul 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Prakash H Shah, M.D.

Title

Owner

Phone

(718) 842-8900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1902035470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722912",
            "telephone_number": "718-842-8900",
            "fax_number": "718-589-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722912",
            "telephone_number": "718-842-8900",
            "fax_number": "718-589-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1561 WESTCHESTER AVENUE MEDICAL OFFICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-842-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "154855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.