Organization Active NPI

Amit R Shah Vascuar Surgery PLLC

  • Vascular Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1902567068
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
AMIT R SHAH VASCUAR SURGERY PLLC
Practice address
7404 5TH Ave
Brooklyn, NY 11209-2704
Phone
(718) 439-5111
Fax
(516) 301-5939
NPI assigned
Dec 31, 2021
Last updated
Dec 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Authorized official

Name
Amit Rahendra Shah, MDNPI 1396067682
Title
Owner
Phone
(718) 439-5111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

7404 5TH Ave
Brooklyn, NY 11209-2704

Mailing address

2 Evans Dr
Glen Head, NY 11545-3145
Phone (718) 439-5111

National Provider Directory

National Provider Directory

Locations

7404 5th Ave
Brooklyn, NY 11209
Phone (929) 415-8856

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640908800000",
    "number": "1902567068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EVANS DR",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115453145",
            "telephone_number": "718-439-5111",
            "fax_number": "516-301-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092704",
            "telephone_number": "718-439-5111",
            "fax_number": "516-301-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIT R SHAH VASCUAR SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-31",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "AMIT",
        "authorized_official_middle_name": "RAHENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-439-5111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.