Vijaykumar R Shah


Address: 129 Broadway, Amityville, NY 11701-2729

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.

Physician Overview

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

Claims Based Hospital Affiliation

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

Other Locations

Address Phone Organization
129 Broadway, Amityville, NY 11701-2729

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_047_overall Care Plan 96%

Organization Information

Office Location

Street Address 129 BROADWAY
City AMITYVILLE
State NY
Zip 11701-2729

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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
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Competitor

Search similar physicians

City AMITYVILLE
Zip Code 11701
Specialty INFECTIOUS DISEASE
City + Specialty AMITYVILLE + INFECTIOUS DISEASE

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Dataset Information

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.

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