Individual ProviderRozana ShahPediatricsAllopathic & Osteopathic PhysiciansPractice Address1000 10th Ave, New York, NY 10019-1147(212) 241-4963(516) 967-5596PECOS EnrollmentBased on the most recent information from CMS, provider Rozana Shah is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1295112290Provider TypeIndividualFull NameShah, RozanaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/29/2015Last Updated7/16/2021Contact InformationPractice LocationPractice Address1000 10th Ave, New York, NY 10019-1147Phone(212) 241-4963FaxUnlisted FaxMailing LocationMailing Address235 W 56th St Apt 15l, New York, NY 10019-4631Phone(516) 967-5596FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense303382New YorkCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseA168629CaliforniaCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense0101263176VirginiaCode2080N0001XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense0101263176Virginia