Active NPI
Saira Shah, MD
- Internal Medicine Physician
- Jersey City, NJ
National Provider Identifier
1013265826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA09121900
- Practice address
- 355 Grand St
Medicine Dept,3Rd Floor
Jersey City, NJ 07302-4321 - Phone
- (201) 915-2000
- NPI assigned
- Aug 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C1-0011974 | DE | |
| Internal Medicine Physician | 207R00000X | 25MA09121900 | NJ | Primary |
Addresses
Primary practice location
355 Grand St
Medicine Dept,3Rd Floor
Jersey City, NJ 07302-4321
Mailing address
4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718-2200
Phone (302) 623-0188
Other names 1
- Saira Perwaiz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Internal Medicine | Current | Accepting new patients |
Locations
4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Newark, DE
- NPI 1245474329
Internal Medicine
-
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1013265826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON RD",
"address_2": "STE 5A43",
"city": "NEWARK",
"state": "DE",
"postal_code": "197182200",
"telephone_number": "302-623-0188",
"fax_number": "302-733-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 GRAND ST",
"address_2": "MEDICINE DEPT,3RD FLOOR",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073024321",
"telephone_number": "201-915-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SAIRA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C1-0011974",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA09121900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAIRA",
"last_name": "PERWAIZ",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.