Dhanvanti B Shah, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA03965600 Issued in NJ

Practice address

25 Mule Rd Unit B4
Toms River, NJ 08755-5037

Phone

(732) 341-0020

Fax

(732) 341-0072

NPI assigned

Jul 19, 2006

Last updated

Sep 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1023037116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MULE RD",
            "address_2": "UNIT B4",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555037",
            "telephone_number": "732-341-0020",
            "fax_number": "732-341-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MULE RD UNIT B4",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555037",
            "telephone_number": "732-341-0020",
            "fax_number": "732-341-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DHANVANTI",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA03965600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "067431",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serv Achievement Centers, Inc
• Shahram Shadfar, DMD
• Alan Shaffery, LSW
• Bankim D Shah, MD
• Chirag M Shah, MD
• Dhiren A Shah, MD
• Khushbu Shah
• Pranay Sudhir Shah, D.O.
• Raj Ketan Shah
• Sachin Dipak Shah, DO

• Family Medicine Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.