Dr Pritesh J Shah MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

52090 Issued in NJ

Legal business name

DR PRITESH J SHAH MD PC

Practice address

354 Old Hook Rd
Suite 102
Westwood, NJ 07675-3246

Phone

(201) 358-0400

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Pritesh J Shah, M.D.

Title

Dr

Phone

(201) 358-0400

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1053331827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 OLD HOOK RD",
            "address_2": "SUITE 102",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753246",
            "telephone_number": "201-358-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 OLD HOOK RD",
            "address_2": "SUITE 102",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753246",
            "telephone_number": "201-358-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PRITESH J SHAH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PRITESH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "201-358-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "52090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01805650",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6751806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna Marie Disalvo, MSN, APRN, FNP-C
• Daniel E Distasi, D.D.S.
• Dino Ditrolio, DPM
• Mardik Martin Donikyan, D.O.
• Dhara Doshi, DPM
• DRS. Galitsis and Bovino
• Sydney Edmonds
• Sheldon B. Eisenberg
• Yomna Elbeyali, LAC
• Eli Kirshner MD PC

• Psychiatry Physician in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.