TEJEN J SHAH MD
NPI 1649859042
Student in an Organized Health Care Education/Training Program in Port Jefferson, NY
About Tejen J Shah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TEJEN J SHAH MD (NPI 1649859042) is an individual student in an organized health care education/training program in Port Jefferson, New York and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tejen J Shah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
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 Tejen Shah's NPI number?
The NPI number for Tejen Shah is 1649859042. It was assigned to this individual provider in the NPPES registry on April 5, 2021.
Where is Tejen Shah located?
Tejen Shah practices at 75 N Country Rd, Port Jefferson, NY 11777. The listed phone number is (631) 686-2549.
What is Tejen Shah's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Tejen Shah enrolled in Medicare?
Yes. Tejen Shah is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Tejen Shah was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Tejen J Shah, MD · NPI 1649859042
Student in an Organized Health Care Education/Training Program provider in Port Jefferson, New York. Individual provider, active in the CMS NPPES registry since April 5, 2021.
## Identity
- **NPI:** 1649859042 (Entity type: Individual)
- **Enumerated:** April 5, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 75 N COUNTRY RD, Port Jefferson, NY 11777-2190
- **Phone:** (631) 686-2549
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1649859042) · Data from the CMS NPPES public registry.