Healthcare Provider Details

I. General information

NPI: 1174443428
Provider Name (Legal Business Name): POOJA SHETH MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 MOUNT MORRIS PARK W APT 2
NEW YORK NY
10027-6512
US

IV. Provider business mailing address

10 MOUNT MORRIS PARK W APT 2
NEW YORK NY
10027-6512
US

V. Phone/Fax

Practice location:
  • Phone: 914-481-2497
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. POOJA SHETH
Title or Position: OWNER, PHYSICIAN
Credential: MD
Phone: 914-481-2497