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

Dr. Pooja R Shah, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003201179

Dr. Pooja R Shah, MD is a Dermatology in Huntington, New York. Graduated from University of Rochester School of Medicine and Dentistry in 2015, 11 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Trained at
University of Rochester School of Medicine and Dentistry
Licensed in
NY
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

177 Main St Ste 105
Huntington, NY 11743
Phone: (631) 421-4188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 300 Community Dr, Manhasset, NY 11030-3816 — (516) 562-0100
  • 1991 Marcus Ave Ste 300, North New Hyde Park, NY 11042-2058 — (516) 719-3376

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 298834 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003201179
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 5, 2015
Last updated in NPPESJanuary 17, 2021
Certification dateJanuary 17, 2021

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated 2015 (11 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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