MANOJ SHAH M.D.
NPI 1497838296
Psychiatry & Neurology - Child & Adolescent Psychiatry in Brooklyn, NY

Active since October 23, 2006Opted out of Medicare · through Mar 16, 2028
1 BROOKDALE PLZ, BROOKLYN, NY 11212(718) 240-5000 Get Directions Write a Review

NPPES record last updated: March 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Manoj Shah M.d. NPPES

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

MANOJ SHAH M.D. (NPI 1497838296) is an individual child & adolescent psychiatry provider in Brooklyn, New York, licensed in New York (135666) and active in the NPI registry since October 2006. He has opted out of Medicare through March 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1497838296
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameMANOJ SHAHCredential: M.D.
Location Address1 BROOKDALE PLZBrooklyn, NY 11212-3139
Mailing Address195 Jericho TpkeOld Westbury, NY 11568-1501 · (516) 338-6842 · Fax (516) 338-6842
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateMarch 18, 2016
NPI 1497838296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in NY · 135666
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1 BROOKDALE PLZ, Brooklyn, NY 11212

Other Identifiers 2

Medicare UPINC05527NY
Medicaid00314934NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Manoj Shah M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 16, 2016 through March 16, 2028.

Opt-Out Effective DateMarch 16, 2016
Opt-Out In Effect ThroughMarch 16, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Radiology (Diagnostic Radiology)
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Emergency Medicine
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Internal Medicine
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Student in an Organized Health Care Education/Training Program
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Student in an Organized Health Care Education/Training Program
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Student in an Organized Health Care Education/Training Program
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Physician Assistant
1 BROOKDALE PLZ, BROOKDALE UNIVERSITY HOSPITAL & MEDICAL CENTER
BROOKLYN, NY 11212

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 Manoj Shah's NPI number?

The NPI number for Manoj Shah is 1497838296. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Manoj Shah located?

Manoj Shah practices at 1 Brookdale Plz, Brooklyn, NY 11212. The listed phone number is (718) 240-5000.

What is Manoj Shah's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Manoj Shah enrolled in Medicare?

No. Manoj Shah has opted out of Medicare through March 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Manoj Shah was last updated on March 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.