Individual provider Active NPI

Pinakini Shah, MD

  • Psychiatry Physician
  • Fresh Meadows, NY
National Provider Identifier
1952463119
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
191811 Issued in NY
Practice address
7540 195TH St
Fresh Meadows, NY 11366-1842
Phone
(718) 464-9278
Fax
(718) 464-6692
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 191811 NY Primary

Addresses

Primary practice location

7540 195TH St
Fresh Meadows, NY 11366-1842

Mailing address

7540 195TH St
Fresh Meadows, NY 11366-1842
Phone (718) 464-6692

Other identifiers 1

IdentifierTypeStateIssuer
02236175MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
191811NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Neigborhood Services Past Accepting new patients
Brooklyn Psychiatric Centers, Inc Past Accepting new patients
Brooklyn Psychiatric Centers, Inc Past Accepting new patients
Bleuler Psychotherapy Center, Inc. PastSince Sep 23, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bleulerpc/r4/

Organizations & group practices 4

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1952463119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 195TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661842",
            "telephone_number": "718-464-6692",
            "fax_number": "718-464-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 195TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661842",
            "telephone_number": "718-464-9278",
            "fax_number": "718-464-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PINAKINI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "191811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02236175",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.