| NPI | 1033222468 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-08-17 |
| Last Updated | 2023-09-29 |
| Mailing Address | 21 Reni Rd Manhasset, NY 11030-1222 United States Phone: (516) 869-3210 | Fax: (516) 627-0464 📍 View Map |
| Primary Practice Address | 140 Lockwood Ave, Suite 216 New Rochelle, NY 10801-4915 United States Phone: (914) 235-6900 | Fax: (914) 235-7900 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | NY | 002918 | ConnectiCare ID# |
| MEDICAID | NY | 01851505 | - |
| Other (non-Medicare) | NY | 1033222468 | Commerical Carriers |
| Other (non-Medicare) | NY | 163AJ3 | Empire BC/BS ID # |
| Other (non-Medicare) | NY | 196192 | HIP ID # |
| Other (non-Medicare) | NY | 2592106 | GHI ID # |
| Other (non-Medicare) | NY | 3359089 | Aetna HMO ID# |
| Other (non-Medicare) | NY | 3C2846 | PHS HealthNet ID# |
| Other (non-Medicare) | NY | 5387184 | Aetna PPO ID# |
| Other (non-Medicare) | NY | P00311425 | Medicare Railroad |
| Other (non-Medicare) | NY | WP738 | Oxford ID # |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207Q00000X – Family Medicine | NY | 196192 |
| Yes | 207R00000X – Internal Medicine | NY | 196192 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1033222468
Shyam Chandru Shivdasani M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1033222468. The primary specialty listed is Internal Medicine. The provider is located in New Rochelle, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1033222468?
NPI 1033222468 belongs to Shyam Chandru Shivdasani M.D., a Internal Medicine in New Rochelle, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1033222468 active?
The current status of NPI 1033222468 in the NPPES registry is Active. The record was last updated on 2023-09-29.
What specialty is NPI 1033222468?
NPI 1033222468 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1033222468?
You can verify NPI 1033222468 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1033222468?
The primary practice address on file for NPI 1033222468 is 140 Lockwood Ave, New Rochelle, NY 10801-4915. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1033222468 issued?
NPI 1033222468 was first issued (enumerated) on 2006-08-17. The NPPES record was last updated on 2023-09-29.
Practice Location Map
Shyam Chandru Shivdasani is located at 140 Lockwood Ave, New Rochelle, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Shyam Chandru Shivdasani. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1033222468. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 196192 | NY |
| Internal Medicine | 196192 | NY |