DR. SHYAM CHANDRU SHIVDASANI (NPI# 1033222468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033222468 |
| Entity Type | Individual |
| Full Name | DR. SHYAM CHANDRU SHIVDASANI |
| Credential | M.D. |
| Practice Address |
140 Lockwood Ave Suite 216 New Rochelle NY 10801-4915 |
| Mailing Address |
21 Reni Rd Manhasset NY 11030-1222 |
| Practice Telephone | 9142356900 |
| Practice Fax Number | 9142357900 |
| Mailing Telephone | 5168693210 |
| Mailing Fax Number | 5166270464 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2008-05-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 196192 | NY | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 196192 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE RAILROAD | P00311425 | 01 |
| NY | 01851505 | 05 | |
| NY | GHI ID # | 2592106 | 01 |
| NY | PHS HEALTHNET ID# | 3C2846 | 01 |
| NY | COMMERICAL CARRIERS | 1033222468 | 01 |
| NY | CONNECTICARE ID# | 002918 | 01 |
| NY | OXFORD ID # | WP738 | 01 |
| NY | HIP ID # | 196192 | 01 |
| NY | EMPIRE BC/BS ID # | 163AJ3 | 01 |
| NY | AETNA HMO ID# | 3359089 | 01 |
| NY | AETNA PPO ID# | 5387184 | 01 |
| Street Address |
140 LOCKWOOD AVE SUITE 216 |
| City | NEW ROCHELLE |
| State | NY |
| Zip Code | 10801-4915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891784526 | Jennifer C Pichardo | Dentist | 140 Lockwood Ave, Suite 215, New Rochelle, NY 10801-4915 | 2005-10-15 |
| 1932523479 | Montefiore New Rochelle Hospital | General Practice | 140 Lockwood Ave, New Rochelle, NY 10801-4915 | 2014-02-04 |
| 1154698991 | Venustas | Acupuncturist | 140 Lockwood Ave, 324, New Rochelle, NY 10801-4915 | 2011-11-22 |
| 1356635296 | Westchester Hearing Instruments | Audiologist-Hearing Aid Fitter | 140 Lockwood Ave, Suite 202, New Rochelle, NY 10801-4915 | 2011-06-08 |
| 1326342445 | Barbara Katzeff, M.d. LLC | Internal Medicine | 140 Lockwood Ave, Suite 204, New Rochelle, NY 10801-4915 | 2011-01-04 |
| 1093030116 | Ashok Dawani | Pharmacist | 140 Lockwood Ave, New Rochelle, NY 10801-4915 | 2010-03-31 |
| 1124353271 | Lockwood Endoscopy and Office Based Surgery PC | Clinic/Center | 140 Lockwood Ave, Suite 210, New Rochelle, NY 10801-4915 | 2009-10-07 |
| 1922233493 | Jennifer Pichardo Dds PC | Dentist | 140 Lockwood Ave, Suite 215, New Rochelle, NY 10801-4915 | 2009-05-27 |
| 1922240761 | Kim Josette Abrams | Pediatrics | 140 Lockwood Ave, Suite 115, New Rochelle, NY 10801-4915 | 2009-03-25 |
| 1083870273 | Caring for Kids Pediatric Dentistry, P.C. | Dentist | 140 Lockwood Ave, Suite 315, New Rochelle, NY 10801-4915 | 2008-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769654 | Jc & M Inc. | Taxi | 12 Rosedale St., New Rochelle, NY 10801 | 2020-01-24 |
| 1114565678 | Paul Defelice | Physical Therapist | 140a Suite 2 Lockwood Ave, New Rochelle, NY 10801 | 2019-12-16 |
| 1144872425 | Maria Jose Bernal Riera | Student in an Organized Health Care Education/Training Program | 16 Guion Pl New Rochelle, Ny, New Rochelle, NY 10801 | 2019-07-16 |
| 1639730757 | Raina Niles | Behavior Technician | 466 Maint Street Suite Ll20, New Rochelle, NY 10801 | 2019-06-28 |
| 1649750241 | Deborah Ann Grace | Psychologist | 54 Hilltop Avenue, New Rochelle, NY 10801 | 2018-08-14 |
| 1801386974 | Fatima Rehman | Physical Therapist | 1 Odell Place, New Rochelle, NY 10801 | 2018-05-15 |
| 1205324753 | Narayan Pharmacy 3 LLC | Pharmacy | 175 Memorial Hwy Ste 1-14, New Rochelle, NY 10801 | 2018-04-30 |
| 1750805578 | Alex Judah | Behavioral Analyst | 466 Main St Lowr Level20, New Rochelle, NY 10801 | 2017-08-02 |
| 1740703255 | Rosaria Del Monte | Specialist | 145 Huguenot Street Suite 404, All About Kids, New Rochelle, NY 10801 | 2017-07-18 |
| 1063934420 | Mustard Seed Kids Incorporated | In Home Supportive Care | 177 East Main Street, Suite 399, New Rochelle, NY 10801 | 2017-07-07 |
| Find all providers in zip 10801 | ||||
| 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 |
|---|---|---|---|---|
| 1245665827 | Primary Care Medicine of New Rochelle, P.C. | Internal Medicine | 39 Grove Ave, New Rochelle, NY 10801-6254 | 2013-09-13 |
| 1942571138 | Jack Rosenbluth | Internal Medicine | 123 Wykagyl Ter, New Rochelle, NY 10804-3108 | 2012-01-19 |
| 1871863266 | Differences Practice Group LLC | Internal Medicine | 778 Pelhamdale Ave, New Rochelle, NY 10801-1416 | 2012-01-03 |
| 1962781278 | Carl Marc Lieberman | Internal Medicine | 8 Stony Gate Oval, New Rochelle, NY 10804-2539 | 2011-08-04 |
| 1235426420 | Alvin Htut | Internal Medicine | 140 Lockwood Ave Ste 104, New Rochelle, NY 10801-4907 | 2011-07-07 |
| 1225324312 | Miriam Lora | Internal Medicine | 268 Pinebrook Blvd, New Rochelle, NY 10804-3909 | 2011-06-27 |
| 1659601581 | Gary David Swergold | Internal Medicine | 75 Sheldrake Pl, New Rochelle, NY 10804-1116 | 2009-12-24 |
| 1053526657 | Gerald Edmund Thomson | Internal Medicine | 85 Premium Point, New Rochelle, NY 10801-5327 | 2007-05-14 |
| 1710106174 | William Krapin | Internal Medicine | 101 Barnard Rd, New Rochelle, NY 10801-1300 | 2007-04-24 |
| 1881812188 | Charles Anthony Rizzo | Internal Medicine | 50 Windsor Oval, New Rochelle, NY 10805 | 2007-04-23 |
| Find all providers in NEW ROCHELLE | ||||
| City | NEW ROCHELLE |
| Zip Code | 10801 |
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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.