DR. MELISSA D SHAH (NPI# 1144474511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144474511 |
| Entity Type | Individual |
| Full Name | DR. MELISSA D SHAH |
| Credential | M.D. |
| Practice Address |
117 Marys Ave Suite 202 Kingston NY 12401-5849 |
| Mailing Address |
391 Myrtle Ave Ste 5 Albany NY 12208-3797 |
| Practice Telephone | 8453381992 |
| Practice Fax Number | 8453381614 |
| Mailing Telephone | (518) 262-5640 |
| Mailing Fax Number | 5182629413 |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
60 265648 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03516823 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 391 Myrtle Ave Ste 5, Albany, NY 122083797 | 5182625640 |
| Street Address |
117 MARYS AVE SUITE 202 |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401-5849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144215161 | Mid Hudson Plastic Surgery PC | Plastic Surgery | 117 Marys Ave, Suite 204, Kingston, NY 12401-5849 | 2005-09-15 |
| 1023284791 | Ayse Pere | Nurse Practitioner | 117 Marys Ave, Suite 201, Kingston, NY 12401-5849 | 2008-05-02 |
| 1366659518 | The Vascular Group Pllc | Radiology | 117 Marys Ave, Suite 201, Kingston, NY 12401-5849 | 2007-05-17 |
| 1194945741 | Matthew Anthony Hilmi | Dentist | 117 Marys Ave, 104, Kingston, NY 12401-5849 | 2007-04-26 |
| 1356468193 | Mid-hudson Oral and Maxillofacial PC | Dentist | 117 Marys Ave, 104, Kingston, NY 12401-5849 | 2007-03-26 |
| 1609949528 | Richard Joseph Burzine | Physician Assistant | 117 Marys Ave, Suite 201, Kingston, NY 12401-5849 | 2006-11-16 |
| 1609968593 | Hudson Valley Family Physicians, Pllc | Family Medicine | 117 Marys Ave, Suite 101, Kingston, NY 12401-5849 | 2006-09-28 |
| 1932140431 | Hudson Valley Oncology, PC | Internal Medicine | 117 Marys Ave, Suite 102, Kingston, NY 12401-5849 | 2006-06-08 |
| 1891734810 | Hal N. Buch, Md PC | Internal Medicine | 117 Marys Ave, Suite 201, Kingston, NY 12401-5849 | 2006-06-05 |
| 1841237542 | Stephanie S Saltzberg | Radiology | 117 Marys Ave, Suite 201, Kingston, NY 12401-5849 | 2006-06-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| Find all providers in zip 12401 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487912804 | Brian J. Marien Md LLC | Surgery | 540 Pierce St, Kingston, PA 18704-5751 | 2012-04-24 |
| 1306894415 | Brian J Marien | Surgery | 540 Pierce St, Kingston, PA 18704-5751 | 2006-05-04 |
| 1821070327 | John J Ambrosino | Surgery | 117 Marys Ave, Suite 202, Kingston, NY 12401-5849 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003509 | Gs Medical, P.C. | Surgery | 377-b Pearsall Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1073128971 | New York Vascular Group, Pllc | Surgery | 19 Laurel Ave Ste 102, Cornwall, NY 12518-1403 | 2020-09-09 |
| 1578190179 | Camilo Jose Martinez | Surgery | 23 S Howell Ave Ste H, Centereach, NY 11720-4445 | 2020-03-24 |
| 1407483399 | Interventional Medicine | Surgery | 1122a Coney Island Ave, Brooklyn, NY 11230-2307 | 2020-03-23 |
| 1487287975 | Syracuse Professional Medical Services of New York LLC | Surgery | 1101 Erie Blvd E Ste 201a, Syracuse, NY 13210-1144 | 2020-02-13 |
| 1457983181 | Syracuse Medical of New York LLC | Surgery | 1101 Erie Blvd E Ste 201b, Syracuse, NY 13210-1144 | 2020-02-11 |
| 1366914483 | Star Veins Centers PC | Surgery | 225 W 35th St Frnt 2, New York, NY 10001-1904 | 2018-12-31 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1003393299 | Bushwick Professional Medical Services of New York LLC | Surgery | 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237-4508 | 2018-07-20 |
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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.