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VIJAY SHAH PHYSICIAN PC
NPI 1073892337
Internal Medicine - Hematology & Oncology in Williston Park, NY

Active since August 04, 2011
17 GORDON DR, WILLISTON PARK, NY 11596(631) 805-2241(718) 204-7470 Get Directions Write a Review

NPPES record last updated: August 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vijay Shah Physician Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIJAY SHAH PHYSICIAN PC (NPI 1073892337) is a healthcare organization registered as a hematology & oncology in Williston Park, New York and active in the NPI registry since August 2011. The organization lists Vijay R Shah, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1073892337
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameVIJAY SHAH PHYSICIAN PC
Location Address17 GORDON DRWilliston Park, NY 11596-1512
Mailing Address17 Gordon DrWilliston Park, NY 11596-1512 · (631) 805-2241 · Fax (718) 204-7470
Phone(631) 805-2241
Fax(718) 204-7470
Organization SubpartNo
Authorized OfficialVijay R ShahOwner/physician · (631) 805-2241
Enumeration DateAugust 4, 2011
Last NPPES UpdateAugust 22, 2011
✔ NPI 1073892337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NY · 200343
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
17 GORDON DR, Williston Park, NY 11596
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Other Identifiers 4

Medicare PIN094012NY
Medicare PINA100053298NY
Medicare UPING24385
Medicaid01642713NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vijay Shah Physician PC's NPI number?

The NPI number for Vijay Shah Physician PC is 1073892337. It was assigned to this organization in the NPPES registry on August 4, 2011.

Where is Vijay Shah Physician PC located?

Vijay Shah Physician PC is located at 17 Gordon Dr, Williston Park, NY 11596. The listed phone number is (631) 805-2241.

What is Vijay Shah Physician PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Vijay Shah Physician PC was last updated on August 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.