| Dr Shyam Chandru Shivdasani, MD | |
|
140 Lockwood Ave, Suite 216, New Rochelle, NY 10801-4915 | |
| (914) 235-6900 | |
| (914) 235-7900 |
| Full Name | Dr Shyam Chandru Shivdasani |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 35 Years |
| Location | 140 Lockwood Ave, New Rochelle, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033222468 | NPI | - | NPPES |
| 3359089 | Other | NY | AETNA HMO ID# |
| 01851505 | Medicaid | NY | |
| 002918 | Other | NY | CONNECTICARE ID# |
| 196192 | Other | NY | HIP ID # |
| 3C2846 | Other | NY | PHS HEALTHNET ID# |
| 5387184 | Other | NY | AETNA PPO ID# |
| 163AJ3 | Other | NY | EMPIRE BC/BS ID # |
| P00311425 | Other | NY | MEDICARE RAILROAD |
| WP738 | Other | NY | OXFORD ID # |
| 2592106 | Other | NY | GHI ID # |
| 1033222468 | Other | NY | COMMERICAL CARRIERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 196192 (New York) | Secondary |
| 207R00000X | Internal Medicine | 196192 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Americare Certified Special Services, Inc Chha | Brooklyn, NY | Home health agency |
| New York-presbyterian Hospital | New york, NY | Hospital |
| White Plains Hospital Center | White plains, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lawrence Medical Associates Pc | 1759439631 | 198 |
| Entity Name | Shyam C Shivdasani Md Internal Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336221696 PECOS PAC ID: 4880667724 Enrollment ID: O20040818000380 |
| Entity Name | Lawrence Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023257441 PECOS PAC ID: 1759439631 Enrollment ID: O20090504000017 |
| Entity Name | Shyam Shivdasani Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306225669 PECOS PAC ID: 7911210547 Enrollment ID: O20150724011329 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shyam Chandru Shivdasani, MD 21 Reni Rd, Manhasset, NY 11030-1222 Ph: (516) 869-3210 | Dr Shyam Chandru Shivdasani, MD 140 Lockwood Ave, Suite 216, New Rochelle, NY 10801-4915 Ph: (914) 235-6900 |
Dr. Daniel Harold Pomerantz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16 Guion Pl, New Rochelle, NY 10801 Phone: 914-365-3615 Fax: 914-365-5453 | |
Richard Gottfried, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1296 North Ave, New Rochelle, NY 10804 Phone: 914-235-8224 Fax: 914-235-6940 | |
Dr. Michele Halpern, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16 Guion Pl, New Rochelle, NY 10801 Phone: 914-632-5000 | |
Dr. Gerald Edmund Thomson, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 85 Premium Point, New Rochelle, NY 10801 Phone: 914-633-5547 | |
Donald Scott Miller, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 20 Cedar St Fl 2, New Rochelle, NY 10801 Phone: 914-633-7870 Fax: 914-633-7626 | |
Dr. Melvyn S Bleiberg, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 80 Oxford Rd, New Rochelle, NY 10804 Phone: 914-576-6783 | |
Dr. Frank M Tamarin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 175 Memorial Hwy, Suite 3-6, New Rochelle, NY 10801 Phone: 914-235-7302 Fax: 914-636-6030 |