MEDICARE: SHAKESPEARE OPERATING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist
2	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1720634538
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAKESPEARE OPERATING LLC

Provider Business Mailing Address
First Line	:	2626 HALPERIN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-2631
Country	:	US
Telephone Number	:	718-618-0401
Fax Number	:	347-479-1303

Provider Business Practice Location Address
First Line	:	1250 SHAKESPEARE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-3012
Country	:	US
Telephone Number	:	718-583-7736
Fax Number	:	646-350-1634

Authorized Official
Title or Position	:	OWNER
Name	:	DR. NIDHI SAHGAL
Credential	:	MD
Telephone Number	:	718-618-0401

Provider Enumeration Date	:	08/16/2019
Last Update Date	:	03/24/2026

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Directions to “SHAKESPEARE OPERATING LLC ” Practice Location

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