DR. POOJA R SHAH (NPI# 1003201179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003201179 |
| Entity Type | Individual |
| Full Name | DR. POOJA R SHAH |
| Credential | MD |
| Practice Address |
177 Main St Ste 105 Huntington NY 11743 |
| Mailing Address |
177 Main St Ste 105 Huntington NY 11743-6917 |
| Practice Telephone | 6314214188 |
| Mailing Telephone | 6314214188 |
| Enumeration Date | 2015-04-05 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 298834 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Community Dr, Manhasset, NY 110303816 | 5165620100 | |
| 1991 Marcus Ave Ste 300, North New Hyde Park, NY 110422058 | 5167193376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729730 | Pooja Sujit Shah | Student in an Organized Health Care Education/Training Program | 3728 Venezia Vw, Leander, TX 78641-3717 | 2020-01-19 |
| 1538713334 | Pooja Shah | Optometrist | 1279 Route 33, Hamilton, NJ 08690-2713 | 2019-07-30 |
| 1003205493 | Pooja Shah | Physical Therapist | 1514 Kingston Ct, Des Plaines, IL 60018-1478 | 2015-01-22 |
| 1215278130 | Pooja S Shah | Physical Therapist | 19785 Crystal Rock Dr Ste 309, Germantown, MD 20874-4732 | 2013-03-04 |
| 1780967505 | Pooja D Shah | Pharmacist | 66 Carlton Ave, Piscataway, NJ 08854-3043 | 2011-09-28 |
| 1124263777 | Pooja V Shah | Dentist | 571 Ruth Cir, Corona, CA 92879-8088 | 2008-12-11 |
| 1144859588 | Pooja Shah | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-07 |
| 1922646785 | Pooja Jashvantkumar Shah | Pharmacist | 53 E Olive Ave, Porterville, CA 93257-4827 | 2019-12-11 |
| 1043795677 | Pooja Rajesh Shah | Counselor | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2018-09-28 |
| 1164914156 | Pooja Shah | Internal Medicine | 420 S 5th Ave, West Reading, PA 19611 | 2018-06-05 |
| Street Address |
177 MAIN ST STE 105 |
| City | HUNTINGTON |
| State | NY |
| Zip Code | 11743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427391218 | Raman Kevin Madan | Dermatology | 177 Main St Ste 105, Huntington, NY 11743-6917 | 2013-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896477 | Peter C Gaal | Behavioral Analyst | 47 N. Woodhull Road, 2nd Floor, Huntington, NY 11743 | 2019-11-25 |
| 1902389299 | Taylor Bliss Dambrosio | Early Intervention Provider Agency | 38 Carnegie Ave, Huntington, NY 11743 | 2018-09-12 |
| 1639601750 | Speech and Hearing Services | Clinic/Center | 17 Brooks Ave Unit1, Huntington, NY 11743 | 2017-03-29 |
| 1174983456 | Helene Falcone | Registered Nurse | 264 W. 22nd St., Oakwood Primary Center, Hunt., NY 11743 | 2016-03-01 |
| 1124499470 | Thomas Hlenski | Social Worker | 4 Richard Lane, Huntington, NY 11743 | 2015-10-13 |
| 1174921308 | Jeanne Ginsberg | Counselor | 81 Knollwood Avenue, Huntington, NY 11743 | 2014-12-22 |
| 1770980534 | Emily Ann Sombke | Physician Assistant | 249 Manor Rd., Huntington, NY 11743 | 2014-11-21 |
| 1881096162 | Applied Health Chiropractic | Chiropractor | 12 Ash Pl, Huntington, NY 11743 | 2014-09-18 |
| 1265857643 | Ccs Medical Practice, Pllc | Public Health or Welfare | 17 Southdown Road, Huntington, NY 11743 | 2014-02-21 |
| 1255760682 | Ekaterina Femminella | Acupuncturist | 181 Main St Ste 105, Huntington, NY 11743 | 2013-11-06 |
| Find all providers in zip 11743 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427391218 | Raman Kevin Madan | Dermatology | 177 Main St Ste 105, Huntington, NY 11743-6917 | 2013-04-01 |
| 1851401269 | Michael Allen Vale | Dermatology | 205 East Main St, Suite 2-7b, Huntington, NY 11743-7937 | 2006-08-30 |
| 1255347779 | Michael J Dannenberg | Dermatology | 177 Main Street, Huntington, NY 11743-6951 | 2006-08-01 |
| 1063444321 | Roger Koreen | Dermatology | 28 Elm Street, Huntington, NY 11743 | 2006-07-07 |
| 1376528356 | Elaine M Young | Dermatology | 1411 6th Ave, Huntington, WV 25701-2420 | 2005-12-13 |
| 1356331508 | Charles L Yarbrough | Dermatology | 1934 11th Ave, Huntington, WV 25701-3722 | 2005-10-27 |
| 1700265576 | Soham Chaudhari | Dermatology | 1934 11th Ave, Huntington, WV 25701-3722 | 2015-05-26 |
| 1154409092 | Huntington Medical Associates, Inc | Dermatology | 1934 11th Ave, Huntington, WV 25701-3722 | 2006-11-01 |
| 1972613396 | Margo Rose Vale | Dermatology | 205 East Main St, Suite 2 7 B, Huntington, NY 11743-7937 | 2006-08-30 |
| 1134236722 | Dermatology Associates of Huntington, PC | Dermatology | 177 Main St, Suite #105, Huntington, NY 11743-6917 | 2006-08-23 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 11743 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.