Vidisha Shah, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01599200 Issued in NJ

Practice address

610 Washington Blvd
Jersey City, NJ 07310-1400

Phone

(212) 227-3233

NPI assigned

Dec 17, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Orthopedic and Sports Medicine Institute PCGroup PAC ID 3072561158, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DIEEAA
• FHIR API: https://fhir4.healow.com/fhir/r4/DIEEAA/Endpoint/DIEEAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Orthopedic and Sports Medicine Institute PC

  • Orthopaedic Surgery Physician
  • Freehold, NJ
  • NPI 1518033893

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• New Jersey Rehab Experts LLC

  • Multi-Specialty Clinic/Center
  • Jersey City, NJ
  • NPI 1720538929

  Physical Therapist

  Medicare reassignment NPD
• Pain and Disability Institute, P.C.

  • Pain Medicine Physician
  • Jersey City, NJ
  • NPI 1306924725
  Medicare reassignment NPD
• Advanced Orthopedic and Sports Medicine Institute PC

  • Durable Medical Equipment & Medical Supplies
  • Monroe, NJ
  • NPI 1134576077
  NPD
• Ambulatory Pain and Disability Management Center LLC

  • Ambulatory Surgical Clinic/Center
  • Jersey City, NJ
  • NPI 1093311276
  NPD
• Prime Health Physical Therapy and Rehabilitation P. C.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1164488227
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1003152265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WASHINGTON BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101400",
            "telephone_number": "626-202-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WASHINGTON BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101400",
            "telephone_number": "212-227-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VIDISHA",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-17",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035781",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01599200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sachin V Shah
• Saira Shah, MD
• Samir Shah
• Sneha Shah
• Tithi Shah
• Zarna Shah, D.O.
• Muhammad Ali Shahid, PHARMD
• Shumaila Shahid, LPC
• Rubina A Shahidi, M.D.
• Hussein Ibrahim Shahin, RPH

• Physical Therapist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.