Vijaykumar R Shah (NPI# 1346338399, PAC ID# 8123190360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
Nation Provider ID (NPI) | 1346338399 |
PAC ID by PECOS | 8123190360 |
Professional Enrollment ID | I20080703000574 |
Full Name | Vijaykumar R Shah |
Address |
129 Broadway Amityville NY 11701-2729 |
Gender | M |
Graduation Year | 1984 |
Primary Specialty | INFECTIOUS DISEASE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330332 | CHSLI ST JOSEPH HOSPITAL |
330331 | PLAINVIEW HOSPITAL |
330106 | NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET |
Address | Phone | Organization |
---|---|---|
129 Broadway, Amityville, NY 11701-2729 |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_047_overall | Care Plan | 96% |
Street Address |
129 BROADWAY |
City | AMITYVILLE |
State | NY |
Zip | 11701-2729 |
Name | Specialty | Organization | Address |
---|---|---|---|
Shannon D Deluca | Physical Therapy | Maximum Motion Physical Therapy Pllc | 565 Albany Ave, Amityville, NY 11701-1115 |
Alyssa Febbraro | Physical Therapy | Maximum Motion Physical Therapy Pllc | 565 Albany Ave, Amityville, NY 11701-1115 |
Joanne Walters | Clinical Social Worker | 585 Albany Ave, Apt 147, Amityville, NY 11701-1170 | |
Jacqueline Rosario | Clinical Social Worker | 118 Kenneth Ct, Amityville, NY 11701-1557 | |
Jorge L Gardyn | Internal Medicine | 618 Broadway, Amityville, NY 11701-2124 | |
Jesse T Johnson Ii | Physician Assistant | North Shore Lij Urgent Care PC | 801 Broadway, Suite 100, Amityville, NY 11701-2206 |
Kimberly T Souffront | Nurse Practitioner | North Shore Lij Urgent Care PC | 801 Broadway, Suite 100, Amityville, NY 11701-2206 |
Ruth L Guevara | Family Medicine | North Shore Lij Urgent Care PC | 801 Broadway, Suite 100, Amityville, NY 11701-2206 |
Jason Gerard Tonno | Physician Assistant | North Shore Lij Urgent Care PC | 801 Broadway, Suite 100, Amityville, NY 11701-2206 |
Erik G Walter | Physician Assistant | North Shore Lij Urgent Care PC | 801 Broadway, Suite 100, Amityville, NY 11701-2206 |
Find all physicians in zip 11701 |
City | AMITYVILLE |
Zip Code | 11701 |
Specialty | INFECTIOUS DISEASE |
City + Specialty | AMITYVILLE + INFECTIOUS DISEASE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.