Individual provider Active NPI

Binita Shah

  • Dentist
  • North Plainfield, NJ
National Provider Identifier
1083085203
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02614101 Issued in NJ
Practice address
176 Cedar St
North Plainfield, NJ 07060-3941
Phone
(908) 753-1772
NPI assigned
Oct 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02614101 NJ Primary

Addresses

Primary practice location

176 Cedar St
North Plainfield, NJ 07060-3941

Mailing address

135 Somerset St Apt 1611
New Brunswick, NJ 08901-1945
Phone (818) 267-4660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180131000191 NJ Order and Referring Only - DentistPractitioner - Dentist 6507126141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02614101NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Montville Dental Studio LLC Dentist CurrentSince Jul 28, 2025 Accepting new patients
Dr. Mitchell a. Kagan DDS & Dr. Jeffrey C. Bogden DMD Past Accepting new patients

Locations

170 Changebridge Rd
Bldg A2
Montville, NJ 07045
Phone (973) 575-6100

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.

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1083085203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 SOMERSET ST APT 1611",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011945",
            "telephone_number": "818-267-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 CEDAR ST",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603941",
            "telephone_number": "908-753-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "BINITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02614101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.