NAMITHA JOHN SHAH FNP-BC
NPI 1235620048
Nurse Practitioner - Family in New York, NY

Active since May 29, 2018
1619 BROADWAY, NEW YORK, NY 10019(646) 416-5752 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 22, 2020, Oct 16, 2018 (2 updates tracked since 2018).

About Namitha John Shah Fnp-bc NPPES

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

NAMITHA JOHN SHAH FNP-BC (NPI 1235620048) is an individual family provider in New York, New York, licensed in New York (342753) and active in the NPI registry since May 2018. She maintains a secondary practice location in Jamaica.

NPPES Registry Identity

NPI1235620048
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNAMITHA JOHN SHAHCredential: FNP-BC
Location Address1619 BROADWAYNew York, NY 10019-7412
Mailing Address30 N Tyson AveFloral Park, NY 11001-1515 · (347) 624-8566
Sole ProprietorNo
Enumeration DateMay 29, 2018
Last NPPES UpdateOctober 22, 20202 updates tracked since enumeration
NPPES CertifiedOctober 22, 2020
NPI 1235620048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 342753
1619 BROADWAY, New York, NY 10019

Secondary Practice Location 1

Location 18781 169th StJamaica, NY 11432-4438 · Phone (718) 206-2400

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1619 BROADWAY
NEW YORK, NY 10019
Nurse Practitioner (Family)
1619 BROADWAY
NEW YORK, NY 10019
Pharmacy
1619 BROADWAY
NEW YORK, NY 10019
Pharmacist
1619 BROADWAY
NEW YORK, NY 10019
Pharmacist
1619 BROADWAY
NEW YORK, NY 10019
Nurse Practitioner (Family)
1619 BROADWAY
NEW YORK, NY 10019
Pharmacist
1619 BROADWAY
NEW YORK, NY 10019
Pharmacist
1619 BROADWAY
NEW YORK, NY 10019

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 Namitha Shah's NPI number?

The NPI number for Namitha Shah is 1235620048. It was assigned to this individual provider in the NPPES registry on May 29, 2018.

Where is Namitha Shah located?

Namitha Shah practices at 1619 Broadway, New York, NY 10019. The listed phone number is (646) 416-5752.

What is Namitha Shah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Namitha Shah was last updated on October 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.