Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Amit Rajendra Shah, MD

Individual provider Surgery Physician · NPI 1396067682

Dr. Amit Rajendra Shah, MD is a Vascular Surgery in Massapequa Park, New York. Graduated from State University of New York Downstate Medical Center in 2002, 24 years ago. Practices with Prine Health Medical Group, PLLC, a 75-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

450 Sunrise Hwy
Massapequa Park, NY 11762-2901
Phone: (516) 809-9217
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 250 Pettit Ave Ste 2, Bellmore, NY 11710-3657 — (516) 387-7463
  • 1400 Pelham Pkwy S, Bronx, NY 10461-1138 — (718) 918-5590
  • 600 Northern Blvd Ste 115, Great Neck, NY 11021-5200 — (516) 482-8220
  • 290 Community Dr, Great Neck, NY 11021-5504 — (516) 487-1902
  • 27111 76th Ave, New Hyde Park, NY 11040-1436 — (516) 387-7463

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 250719 (NY)
Surgery Physician Taxonomy 208600000X · Licence 250719 (NY)

Record details

NPI number1396067682
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 27, 2010
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Also practisesGENERAL SURGERY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2002 (24 years in practice)
Group practice Prine Health Medical Group, Pllc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount