NPIMap

Organization Active NPI

Dev Shah MD PLLC

  • Primary Care Clinic/Center
  • Spring Valley, NY
National Provider Identifier
1952933467
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DEV SHAH MD PLLC
Practice address
7 S Madison Ave
Spring Valley, NY 10977-5539
Phone
(845) 661-2074
NPI assigned
Feb 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Dr. Dev Vikram Shah, MDNPI 1235556325
Title
Attending
Phone
(845) 661-2074

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

7 S Madison Ave
Spring Valley, NY 10977-5539

Mailing address

86 S Tyson Ave Apt 2C
Floral Park, NY 11001-1833
Phone (845) 661-2074

Other practice location 1

86 S Tyson Ave Apt 2C
Floral Park, NY 11001-1833
Phone (845) 661-2074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200421000040 NY Part B Supplier - Clinic/Group Practice 7719317494 Receives reassigned benefits from 2 practitioners
Practice locations: Spring Valley, NY; Valley Cottage, NY; Suffern, NY; Nyack, NY; New City, NY; Nanuet, NY; Monsey, NY

National Provider Directory

National Provider Directory

Locations

7 S Madison Ave
Spring Valley, NY 10977
Phone (845) 352-4205

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1952933467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 S TYSON AVE APT 2C",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011833",
            "telephone_number": "845-661-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S MADISON AVE",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775539",
            "telephone_number": "845-661-2074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 S Tyson Ave Apt 2C",
            "address_purpose": "LOCATION",
            "city": "Floral Park",
            "state": "NY",
            "postal_code": "110011833",
            "country_code": "US",
            "telephone_number": "845-661-2074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEV SHAH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DEV",
        "authorized_official_middle_name": "VIKRAM",
        "authorized_official_title_or_position": "ATTENDING",
        "authorized_official_telephone_number": "845-661-2074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.