Active NPI
Pritee Shah, PT
- Physical Therapist
- Elmwood Park, NJ
National Provider Identifier
1033140736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 67 Broadway
Broadway Foot and Ankle Ctr., PA
Elmwood Park, NJ 07407 - Phone
- (201) 794-3223
- NPI assigned
- Jul 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
67 Broadway
Broadway Foot and Ankle Ctr., PA
Elmwood Park, NJ 07407
Mailing address
67 Broadway
Broadway Foot and Ankle Ctr., PA
Elmwood Park, NJ 07407
Phone (201) 794-3223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broadway Foot and Ankle Ctr PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- Elmwood Park, NJ
- NPI 1437106689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033140736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 BROADWAY",
"address_2": "BROADWAY FOOT AND ANKLE CTR., PA",
"city": "ELMWOOD PARK",
"state": "NJ",
"postal_code": "07407",
"telephone_number": "201-794-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 BROADWAY",
"address_2": "BROADWAY FOOT AND ANKLE CTR., PA",
"city": "ELMWOOD PARK",
"state": "NJ",
"postal_code": "07407",
"telephone_number": "201-794-3223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "PRITEE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmwood Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.