Essex Health Center PA

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

License

25MA03373200 Issued in NJ

Legal business name

ESSEX HEALTH CENTER PA

Practice address

11 Mountain Ridge Dr
Livingston, NJ 07039-3408

Phone

(973) 266-2905

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dharamsi D ShahNPI 1831157270

Title

President

Phone

(973) 266-2905

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dharamsi D Shah, M.D.

  • Psychiatry Physician
  • Livingston, NJ
  • NPI 1831157270
  NPD (past) Authorized official

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1053537019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MOUNTAIN RIDGE DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393408",
            "telephone_number": "973-266-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MOUNTAIN RIDGE DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393408",
            "telephone_number": "973-266-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX HEALTH CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DHARAMSI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-266-2905",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NJ",
            "license": "25MA03373200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2970104",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4946103",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esarc, Inc
• Robert Norman Eskow, D.M.D.
• Dana Marie Esposito, PA-C
• Essex County Weightloss, LLC
• Essex Dental Professionals
• Essex Neurological Associates PA
• Essex Podiatry Associates
• Essex-Morris Pediatrics Group
• Est Counseling LLC
• Shannon Esteves, APRN

• Psychosomatic Medicine Physician in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Psychosomatic Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.