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JESAL SHAH, DMD, P.C.
NPI 1366985491
Dentist - Oral and Maxillofacial Surgery in Brooklyn, NY

Active since November 21, 2016
4609 5TH AVE, 2ND FLOOR, BROOKLYN, NY 11220(718) 854-3191(718) 909-1635 Get Directions Write a Review

NPPES record last updated: November 21, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jesal Shah, Dmd, P.c. NPPES

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

JESAL SHAH, DMD, P.C. (NPI 1366985491) is a healthcare organization registered as an oral and maxillofacial surgery in Brooklyn, New York and active in the NPI registry since November 2016. The organization lists Jesal Shah, President, as its authorized official.

NPPES Registry Identity

NPI1366985491
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameJESAL SHAH, DMD, P.C.
Location Address4609 5TH AVE, 2ND FLOORBrooklyn, NY 11220-1207
Mailing Address4609 5th Ave, 2nd FloorBrooklyn, NY 11220-1207 · (718) 854-3191 · Fax (718) 909-1635
Phone(718) 854-3191
Fax(718) 909-1635
Organization SubpartNo
Authorized OfficialJesal ShahPresident · (516) 395-2659
Enumeration DateNovember 21, 2016
✔ NPI 1366985491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NY · 052986
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4609 5TH AVE, Brooklyn, NY 11220
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Other Identifiers 1

Medicaid03476693NY

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

Other Providers at the Same Location NPPES 4

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

DER-CHENG TSUNG M.D.
Psychiatry & Neurology (Psychiatry)
4609 5TH AVE
BROOKLYN, NY 11220
Kings County (718) 436-4781
DR. JOSEFINA S. VELASQUEZ M.D.
Internal Medicine (Sleep Medicine)
4609 5TH AVE
BROOKLYN, NY 11220
Kings County (718) 436-4781
DR. STEVEN MICHAEL SCHLAMOWITZ M.D.
Pediatrics
4609 5TH AVE
BROOKLYN, NY 11220
Kings County (718) 436-4781
DR. PURNIMA M KOTHARI MD
Pediatrics (Adolescent Medicine)
4609 5TH AVE
BROOKLYN, NY 11220
Kings County (718) 436-4781

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 Jesal Shah, Dmd, P.C.'s NPI number?

The NPI number for Jesal Shah, Dmd, P.C. is 1366985491. It was assigned to this organization in the NPPES registry on November 21, 2016.

Where is Jesal Shah, Dmd, P.C. located?

Jesal Shah, Dmd, P.C. is located at 4609 5th Ave 2nd Floor, Brooklyn, NY 11220. The listed phone number is (718) 854-3191.

What is Jesal Shah, Dmd, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Jesal Shah, Dmd, P.C. was last updated on November 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.