N K SHAH MEDICAL PC
NPI 1720425770
Internal Medicine - Nephrology in Hollis, NY

Q: What is N K Shah Medical PC's NPI number?

The NPI number for N K Shah Medical PC is 1720425770. It was assigned to this organization in the NPPES registry on May 31, 2013.

Q: What is N K Shah Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since May 31, 2013CLIA 33D2107016 · Waiver

20507 HILLSIDE AVE STE 12, HOLLIS, NY 11423(718) 464-6700(718) 464-8100 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2021, Aug 15, 2019, Nov 30, 2015 (3 updates tracked since 2015).

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About N K Shah Medical Pc NPPES

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

N K SHAH MEDICAL PC (NPI 1720425770) is a healthcare organization registered as a nephrology in Hollis, New York and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through January 4, 2028, maintains a secondary practice location in Queens Village, and lists Nimesh K Shah, Owner, as its authorized official.

NPPES Registry Identity

NPI1720425770

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameN K SHAH MEDICAL PC

Location Address20507 HILLSIDE AVE STE 12Hollis, NY 11423-2220

Mailing Address20507 Hillside Ave Ste 12Hollis, NY 11423-2220 · (718) 464-6700 · Fax (718) 464-8100

Phone(718) 464-6700

Fax(718) 464-8100

Organization SubpartNo

Authorized OfficialNimesh K ShahOwner · (718) 464-6700

Enumeration DateMay 31, 2013

Last NPPES UpdateApril 9, 20213 updates tracked since enumeration

NPPES CertifiedApril 9, 2021

✔ NPI 1720425770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

20507 HILLSIDE AVE STE 12, Hollis, NY 11423

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Secondary Practice Location 1

Location 18637 RANGE STREETQUEENS VILLAGE, NY 11427 · Phone (718) 766-9845

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2107016

N K Shah Medical, PC · Hollis, NY

Active · expires Jan 4, 2028

CLIA Number33D2107016

Laboratory TypePhysician Office

Certificate Effective DateJanuary 5, 2026

Certificate Expiration DateJanuary 4, 2028

Laboratory DirectorDr. Nimesh K. Shah

Laboratory Phone(718) 464-6700

Laboratory LocationN K Shah Medical, PC205-07 Hillside Avenue, Suite 12, Hollis, NY 11423

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. NIMESH KESHARICHARD SHAH MD

Internal Medicine (Nephrology)

20507 HILLSIDE AVE STE 12
HOLLIS, NY 11423

Queens County (718) 464-6700

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 N K Shah Medical PC's NPI number?

The NPI number for N K Shah Medical PC is 1720425770. It was assigned to this organization in the NPPES registry on May 31, 2013.

Where is N K Shah Medical PC located?

N K Shah Medical PC is located at 20507 Hillside Ave Ste 12, Hollis, NY 11423. The listed phone number is (718) 464-6700.

What is N K Shah Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does N K Shah Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2107016) is associated with this NPI, valid through January 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for N K Shah Medical PC was last updated on April 9, 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.