SHIVANI S SHAH (NPI# 1245579226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245579226 |
| Entity Type | Individual |
| Full Name | SHIVANI S SHAH |
| Credential | M.D |
| Practice Address |
135 Canal St Ste 200 Staten Island NY 10304 |
| Mailing Address |
46 Albion St Bridgeport CT 06605-2602 |
| Practice Telephone | 9178301950 |
| Mailing Telephone | 6467240532 |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2018-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 292168 | NY | Allopathic & Osteopathic Physicians |
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
292168 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NY STATE | 292168 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341024 | Shivani Shah | Behavior Technician | 21666 Redwood Rd Ste D, Castro Valley, CA 94546-6445 | 2020-06-16 |
| 1467811851 | Shivani Shah | Dental Hygienist | 937 Willow Bridge Dr, Folsom, CA 95630-7839 | 2016-02-15 |
| 1184962391 | Shivani Shah | Pharmacist | 4773 Whitworth Pl S, Unit M102, Renton, WA 98055-8356 | 2013-01-22 |
| 1982837779 | Shivani Shah | Internal Medicine | 100 Spalding Dr Ste 202, Naperville, IL 60540-6552 | 2009-08-27 |
| 1306452289 | Shivani R Shah | Dentist | 1355 N Galena Ave, Dixon, IL 61021-1009 | 2020-09-16 |
| 1780204719 | Shivani Vijay Shah | Student in an Organized Health Care Education/Training Program | 150 55th St, Brooklyn, NY 11220-2508 | 2020-04-20 |
| 1851929269 | Shivani V Shah | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-03-31 |
| 1891331328 | Shivani Shah | Pharmacist | 1603 Washington St, Boston, MA 02118-1951 | 2019-11-19 |
| 1386206381 | Shivani Shah | Physician Assistant | 9500 Euclid Ave, Cleveland, OH 44195 | 2019-07-01 |
| 1114587730 | Shivani Shah | Internal Medicine | 5501 Old York Rd Ste 1, Philadelphia, PA 19141-3098 | 2019-06-17 |
| Street Address |
135 CANAL ST STE 200 |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1760927255 | Kpannah Moore | Licensed Practical Nurse | 492 Vanderbilt Avenue, Staten Island, NY 10304 | 2016-12-20 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| Find all providers in zip 10304 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384228 | Zvi Eckstein, Md PC | Pediatrics | 1460 Victory Blvd Ste D, Staten Island, NY 10301-3914 | 2019-12-23 |
| 1497250914 | Hina Fatima | Pediatrics | 355 Bard Ave Rm 314, Staten Island, NY 10310-1699 | 2018-03-27 |
| 1629439427 | Pm Pediatrics of Staten Island | Pediatrics | 2407 Richmond Ave, Staten Island, NY 10314-3906 | 2016-03-08 |
| 1376960831 | Wing Sze Leung | Pediatrics | 165 Vanderbilt Avenue, Staten Island, NY 10304 | 2014-03-23 |
| 1376882084 | Attilio Antonio Avidano | Pediatrics | 89 Wirt Ave, Staten Island, NY 10309-4225 | 2013-02-01 |
| 1154604239 | Chavivan Dharapak | Pediatrics | 290 Ridgecrest Ave, Staten Island, NY 10312-5134 | 2011-09-24 |
| 1649551995 | Rumana Rahman | Pediatrics | 2066 Richmond Ave Fl 1, Staten Island, NY 10314-3960 | 2011-08-31 |
| 1922325232 | Nilufar Begum Maniky | Pediatrics | 245 Granite Ave, Staten Island, NY 10303-2605 | 2010-04-26 |
| 1790015899 | Anees Shareef | Pediatrics | 120 Goff Ave, Staten Island, NY 10309-2801 | 2010-01-12 |
| 1245560044 | Cecilia Fitzpatrick | Pediatrics | 136 Crystal Ave, Staten Island, NY 10302-2518 | 2009-12-30 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
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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.