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

Nisha Shah

Individual provider Medical Physician Assistant · NPI 1548775802

Nisha Shah is a Physician Assistant in Brooklyn, New York. Qualified in 2017, 9 years ago. Practices with Kings Physician Services PC, a 645-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
9
Licensed in
NJ, NY
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

506 6th St
Brooklyn, NY 11215-3609
Phone: (718) 780-5942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 024537-01 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 25MP00458100 (NJ)

Record details

NPI number1548775802
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 8, 2017
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Kings Physician Services Pc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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