1. Home
  2. Directory
  3. New York
  4. Wading River
  5. Internal Medicine
  6. NPI Profile

SHOBA MENON MD, PC
NPI 1659816213
Internal Medicine in Wading River, NY

Active since January 05, 2017
1866 WADING RIVER MANOR RD, WADING RIVER, NY 11792(631) 929-8787(631) 929-0350 Get Directions Write a Review

NPPES record last updated: April 20, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 20, 2017, Jan 5, 2017 (2 updates tracked since 2017).

About Shoba Menon Md, Pc NPPES

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

SHOBA MENON MD, PC (NPI 1659816213) is a healthcare organization registered as an internal medicine in Wading River, New York and active in the NPI registry since January 2017. The organization lists Shoba Menon, Physician, as its authorized official.

NPPES Registry Identity

NPI1659816213
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSHOBA MENON MD, PC
Location Address1866 WADING RIVER MANOR RDWading River, NY 11792-2137
Mailing AddressP.o. Box 625Wading River, NY 11792-2137 · (631) 929-8787 · Fax (631) 929-0350
Phone(631) 929-8787
Fax(631) 929-0350
Organization SubpartNo
Authorized OfficialShoba MenonPhysician · (631) 929-8787
Enumeration DateJanuary 5, 2017
Last NPPES UpdateApril 20, 20172 updates tracked since enumeration
✔ NPI 1659816213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1866 WADING RIVER MANOR RD, Wading River, NY 11792
Open in Google Maps ↗

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 2

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

SHOBA MENON MD
Internal Medicine
1866 WADING RIVER MANOR RD
WADING RIVER, NY 11792
Suffolk County (631) 929-8787
MRS. DEBORAH ANN BORDONARO PA
Physician Assistant
1866 WADING RIVER MANOR RD
WADING RIVER, NY 11792
Suffolk County (631) 910-4200

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 Shoba Menon MD, PC's NPI number?

The NPI number for Shoba Menon MD, PC is 1659816213. It was assigned to this organization in the NPPES registry on January 5, 2017.

Where is Shoba Menon MD, PC located?

Shoba Menon MD, PC is located at 1866 Wading River Manor Rd, Wading River, NY 11792. The listed phone number is (631) 929-8787.

What is Shoba Menon MD, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Shoba Menon MD, PC was last updated on April 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.