SHYAM SHIVDASANI MD PLLC
NPI 1306225669
Internal Medicine in Manhasset, NY

NPI Status: Active since May 20, 2015

Contact Information

800 COMMUNITY DR
SUITE 207
MANHASSET, NY
ZIP 11030
Phone: (516) 426-7750
Fax: (516) 627-0464

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  • Organization
  • Internal Medicine
  • CLIA Number: 33D2097889
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-24-2025

About SHYAM SHIVDASANI MD PLLC

This page provides the complete NPI Profile along with additional information for Shyam Shivdasani Md Pllc, an internist established in Manhasset, New York operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1306225669 assigned on May 2015. The practitioner's primary taxonomy code is 207R00000X with license number 196192 (NY). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Shaleen Shivdasani (Vp)

NPI
1306225669
Provider Name
SHYAM SHIVDASANI MD PLLC
Entity Type
Organization
Location Address
800 COMMUNITY DR SUITE 207 MANHASSET, NY 11030
Location Phone
(516) 426-7750
Location Fax
(516) 627-0464
Mailing Address
21 RENI RD MANHASSET, NY 11030
Mailing Phone
(516) 869-3210
Mailing Fax
(516) 627-0464
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2015
Last Update Date
05-20-2015
Code Navigator

An internist like Shyam Shivdasani Md Pllc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
196192
License State
NY
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHALEEN SHIVDASANI

Authorized Official Title
VP
Authorized Official Phone
(516) 242-1430

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2097889
Facility Type
Physician Office
Certificate Effective Date
June 25, 2023
Certificate Expiration Date
June 24, 2025
Laboratory Director
DR. SHYAM C. SHIVDASANI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Shyam Shivdasani Md Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1306225669
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23064210612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 4 + 2 + 1 + 0 + 6 + 1 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1306225669 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184689028 AARON J GINDEA MD
Individual
Internal Medicine (Cardiovascular Disease)800 COMMUNITY DR
MANHASSET, NY 11030
(516) 627-6622
1588629422 MARK J STERN MD
Individual
Internal Medicine (Cardiovascular Disease)800 COMMUNITY DR
MANHASSET, NY 11030
(516) 627-6622
1568481299 PERRY F GARBER MD
Individual
Ophthalmology800 COMMUNITY DR SUITE 304
MANHASSET, NY 11030
(516) 627-6630
1780698480DR. ROBERT ALAN KORNFELD D.P.M.
Individual
Podiatrist800 COMMUNITY DR SUITE 102
MANHASSET, NY 11030
(516) 869-3338
1508994492DR. MINDY HOMER D.D.S.
Individual
Dentist (Pediatric Dentistry)800 COMMUNITY DR SUITE 200
MANHASSET, NY 11030
(516) 869-9500
1184896771PERRY F GARBER MD PC
Organization
Ophthalmology800 COMMUNITY DR SUITE 304
MANHASSET, NY 11030
(516) 627-6630
1578951489MISS SALINA THAPA ANP
Individual
Nurse Practitioner (Adult Health)800 COMMUNITY DR
MANHASSET, NY 11030
(585) 957-5275
1275988644NICHOLAS TUCCI, DMD, PC
Organization
Clinic/Center (Dental)800 COMMUNITY DR SUITE #305
MANHASSET, NY 11030
(516) 466-0053
1073067971FRANK R. VEZZA M.D. PC
Organization
Internal Medicine800 COMMUNITY DR
MANHASSET, NY 11030
(516) 869-9460
1780602870 CARMEN J RODRIGUEZ M.D.
Individual
Obstetrics & Gynecology800 COMMUNITY DR SUITE 215
MANHASSET, NY 11030
(516) 365-2100
1992030662CARMEN J RODRIGUEZ, MD PC
Organization
Preferred Provider Organization800 COMMUNITY DR SUITE 215
MANHASSET, NY 11030
(516) 365-2100
1649502287DR. OMID ZACK JAVDAN D.O
Individual
Internal Medicine (Cardiovascular Disease)800 COMMUNITY DR
MANHASSET, NY 11030
(516) 403-9104
1043291248COMMUNITY CARDIOLOGY,PC
Organization
Specialist800 COMMUNITY DR
MANHASSET, NY 11030
(516) 627-6622
1992304984 JENNIFER CARDENAS NP
Individual
Nurse Practitioner800 COMMUNITY DR
MANHASSET, NY 11030
(631) 374-5351
1093398836MRS. JENNIFERTA ARROYO NP
Individual
Nurse Practitioner (Family)800 COMMUNITY DR
MANHASSET, NY 11030
(516) 403-9104
1578341145 IOLANI BEHRBOM NP
Individual
Nurse Practitioner (Adult Health)800 COMMUNITY DR
MANHASSET, NY 11030
(516) 403-9104
1669242384 MARISSA PINO
Individual
Nurse Practitioner (Acute Care)800 COMMUNITY DR
MANHASSET, NY 11030
(516) 318-6731

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306225669, enumerated in the NPI registry as an "organization" on May 20, 2015

The provider is located at 800 Community Dr Suite 207 Manhasset, Ny 11030 and the phone number is (516) 426-7750

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider's CLIA number is 33D2097889 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 20, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.