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

Dr. Roy M Shanon, MD

Individual provider Internal Medicine Physician · NPI 1285723791

Dr. Roy M Shanon, MD is a Neurology in Melville, New York. Qualified in 1992, 34 years ago. Practices with Lifeline Medical Imaging PC, a 4-clinician group. Licensed in New York.

Years since qualifying
34
Licensed in
NY
In the registry since
2006
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

616 Bardini Dr
Melville, NY 11747-5264
Phone: (516) 316-0983
Fax: (631) 423-1949
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 175599 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 175599 (NY)

Record details

NPI number1285723791
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 12, 2006
Last updated in NPPESJanuary 28, 2022
Certification dateJanuary 28, 2022
Mailing address616 Bardini Dr, Melville, NY 11747-5264

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Lifeline Medical Imaging Pc — 4 clinicians
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

Other providers in Melville