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

Individual provider Specialist · NPI 1609817428

Vijay Shah, MD is an Internal Medicine in Patchogue, New York. Qualified in 1988, 38 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
38
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.

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Practice location Address checks out

444 W Main St
Patchogue, NY 11772-3012
Phone: (718) 204-0414
Fax: (718) 204-7470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 225 Froehlich Farm Blvd, Woodbury, NY 11797-2922 — (516) 364-5400

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 200342 (NY)
Specialist Taxonomy 174400000X · Licence 200342 (NY)

Record details

NPI number1609817428
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 10, 2006
Last updated in NPPESSeptember 27, 2019
Mailing address17 Gordon Dr, Williston Park, NY 11596-1512

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesHEMATOLOGY/ONCOLOGY
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Patchogue