DISHA SHAH (NPI# 1063822732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063822732 |
| Entity Type | Individual |
| Full Name | DISHA SHAH |
| Practice Address |
200 Fairhaven Dr Apt A16 Jericho NY 11753 |
| Mailing Address |
200 Fairhaven Dr Apt A16 Jericho NY 11753-2458 |
| Practice Telephone | 5166431692 |
| Mailing Telephone | 5166431692 |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2018-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 290529 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144727991 | Disha Shah | Student in an Organized Health Care Education/Training Program | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2018-04-09 |
| 1922469758 | Disha Shah | Occupational Therapist | 16150 Ne 85th St, Ste. 220, Redmond, WA 98052-3539 | 2016-03-07 |
| 1699148213 | Disha Shah | Physical Therapist | 3161 Walnut Ave, Fremont, CA 94538-2216 | 2015-11-04 |
| 1982919585 | Disha R. Shah | Family Medicine | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2010-08-09 |
| 1366671265 | Disha Shah | Psychiatry & Neurology | 6400 Dutchmans Pkwy, Suite 175, Louisville, KY 40205-3340 | 2009-07-13 |
| Street Address |
200 FAIRHAVEN DR APT A16 |
| City | JERICHO |
| State | NY |
| Zip Code | 11753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706755 | Navila Armon | Social Worker | 575 Jericho Turnpike, Suite 100, Jericho, NY 11753 | 2020-06-26 |
| 1962035204 | Susan Renee Banco | Social Worker | 286 Carriage House Drive, Jericho, NY 11753 | 2020-02-14 |
| 1154807063 | John Buckman | Registered Nurse | 180 Fairhaven Drive, A23, Jericho, NY 11753 | 2018-07-13 |
| 1225545718 | P.d.m Family Dental, P.C. | Dentist | 295 N Broadway, Jericho, NY 11753 | 2018-01-05 |
| 1699285734 | Jamie Silverman | Social Worker | 51 Flower Lane, Jericho, NY 11753 | 2017-10-03 |
| 1922526748 | Tracey Cardello Lcsw P.C. | Social Worker | 400 Jericho Turnpike #107, Jericho, NY 11753 | 2017-08-31 |
| 1265971261 | Teladietitian | Dietitian, Registered | 471 North Broadway, 363, Jericho, NY 11753 | 2017-02-23 |
| 1346644382 | Aanze Maria Abraham | Nurse Practitioner | 246 Halsey Avenue, Jericho, NY 11753 | 2014-10-20 |
| 1356742449 | Morgan Weissman | Occupational Therapist | 19 Maytime Court, Jericho, NY 11753 | 2014-09-09 |
| 1154689032 | Pooja Pratik Mehta | Physical Therapist | 33 South Service Road, Room 109, Jericho, NY 11753 | 2012-04-27 |
| Find all providers in zip 11753 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700429297 | Patient Priority Medical Care, P. C. | Internal Medicine | 24 Maytime Dr, Jericho, NY 11753-2204 | 2019-10-28 |
| 1659881977 | Elena Schmuter Medical P.C. | Internal Medicine | 43 Maple Run Ct, Jericho, NY 11753-2830 | 2017-10-02 |
| 1174957625 | Jan Pamela Greene | Internal Medicine | 324 Coleridge Rd, Jericho, NY 11753-2605 | 2013-09-02 |
| 1114244936 | Barbara Marie Juliano | Internal Medicine | 5 Putnam Ave, Jericho, NY 11753-1925 | 2010-05-04 |
| 1295062040 | Myles Ralph Desner | Internal Medicine | 71 Karol Pl, Jericho, NY 11753-1306 | 2009-11-13 |
| 1952564270 | Lawrence Ruchman | Internal Medicine | 87 Hunt Dr, Jericho, NY 11753-1152 | 2008-07-07 |
| 1194831958 | Jean Louis Max Dupiton | Internal Medicine | 33 Manors Dr, Jericho, NY 11753-1729 | 2006-08-22 |
| 1578518635 | Ayesha Rahman | Internal Medicine | 55 Maytime Drive,jericho,ny11753, Jericho, NY 11203-1901 | 2006-05-24 |
| 1508139007 | Jonathan Landow | Internal Medicine | 420 Jericho Tpke, Suite#212, Jericho, NY 11753-1344 | 2012-02-14 |
| 1639409642 | Dbm Medical Pllc | Internal Medicine | 420 N Broadway, Jericho, NY 11753-2135 | 2010-01-14 |
| Find all providers in JERICHO | ||||
Please comment or provide details below to improve the information on DISHA SHAH.
| 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.