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

Dr. Jay Shi

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1720729619

Dr. Jay Shi is a Pathology in New York, New York. Qualified in 2022, 4 years ago. Practices with Memorial Pathology Group, a 98-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (347) 798-9213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 Francis St, Boston, MA 02115-6106 — (617) 732-8613

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 337398-01 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720729619
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Memorial Pathology Group — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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