VIJAY SHAH (NPI# 1609817428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609817428 |
| Entity Type | Individual |
| Full Name | VIJAY SHAH |
| Credential | MD |
| Practice Address |
444 W Main St Patchogue NY 11772-3012 |
| Mailing Address |
17 Gordon Dr Williston Park NY 11596-1512 |
| Practice Telephone | 7182040414 |
| Practice Fax Number | 7182047470 |
| Mailing Telephone | 7182040414 |
| Mailing Fax Number | 7182047470 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2019-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 200342 | NY | Other Service Providers |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
200342 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01642713 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 225 Froehlich Farm Blvd, Woodbury, NY 117972922 | 5163645400 | 5166773656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891736492 | Vijay J Shah | Internal Medicine | 1320 N Highland Ave, Suite A, Aurora, IL 60506-1403 | 2006-06-08 |
| 1902883051 | Vijay Shah | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-29 |
| 1821084773 | Vijay P Shah | Internal Medicine | 1400 S Lake Park Ave, 500, Hobart, IN 46342-6790 | 2005-09-26 |
| 1558360495 | Vijay P Shah | Pathology | 10 Nathan D Perlman Place, Suite 12s34, New York, NY 10003-3851 | 2005-07-20 |
| Street Address |
444 W MAIN ST |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457624454 | Howard Leighton Ser | Obstetrics & Gynecology | 444 W Main St, Patchogue, NY 11772-3012 | 2012-02-22 |
| 1114243169 | Nooman Silat, Md, PC | Internal Medicine | 444 W Main St, Patchogue, NY 11772-3012 | 2010-04-15 |
| 1386884633 | South Brookhaven Obstetric & Gynecologic Associates PC | Obstetrics & Gynecology | 444 W Main St, Patchogue, NY 11772-3012 | 2009-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861058778 | Robert Lee De Jager | Internal Medicine | 27 Barker Ave Apt 403, White Plains, NY 10601-1559 | 2019-05-15 |
| 1033623178 | Advanced Care Associates LLC | Internal Medicine | 455 North End Avenue, Ground Floor, Welness Center, New York, NY 10282-5383 | 2017-11-28 |
| 1043738644 | Megan Greally | Internal Medicine | 303 East 60th Street Apartment 37e, New York, NY 10022 | 2017-09-03 |
| 1437675154 | Feng Hematology and Medical Oncology Pllc | Internal Medicine | 833 58th Street, Brooklyn, NY 11220 | 2017-08-15 |
| 1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
| 1376095901 | Carolyn Michele Paradise | Internal Medicine | 6 Gilman Ln, Cortlandt Manor, NY 10567-6204 | 2016-10-31 |
| 1821444001 | Advanced Hematology Oncology Pllc | Internal Medicine | 4235 Main St Ste 3h, Flushing, NY 11355-3956 | 2016-05-06 |
| 1174992184 | Tetyana Koulikova | Internal Medicine | 2272 63rd St Apt 2f, Brooklyn, NY 11204-3153 | 2015-09-20 |
| 1588031389 | Taha Oncology PC | Internal Medicine | 568b Buchanan Ave, Staten Island, NY 10314-4160 | 2015-08-27 |
| 1609251123 | Gene Resnick | Internal Medicine | 59 Alex Dr, White Plains, NY 10605-3414 | 2015-07-26 |
| Find all providers with the same taxonomy | ||||
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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.