Jay H and Vijaya J Shah MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JAY H AND VIJAYA J SHAH MD

Practice address

2562 Knights Rd
Bensalem, PA 19020-3400

Phone

(215) 244-6363

Fax

(215) 244-6365

NPI assigned

Apr 8, 2006

Organization subpart

Yes

Parent organization

JAY H AND VIJAYA J SHAH MDAs reported in NPPES

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

Authorized official

Name

Jay H Shah, MD

Title

Physician-Owner

Phone

(215) 322-9292

Specialties & licenses 1

Addresses

Other identifiers 4

Tax ID family

Jay H and Vijaya J Shah MD2 organizations share this tax ID, including this one

Part of

Jay H and Vijaya J Shah MD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jay H and Vijaya J Shah MD

  • Family Medicine Physician
  • Richboro, PA
  • NPI 1861676280
  NPD tax ID

Locations

Practitioners 1

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

• Vijaya J Shah, MD

  • Family Medicine Physician
  • Richboro, PA
  • NPI 1043273063

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1104889484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 SECOND STREET PIKE",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541005",
            "telephone_number": "215-322-9292",
            "fax_number": "215-322-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2562 KNIGHTS RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203400",
            "telephone_number": "215-244-6363",
            "fax_number": "215-244-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY H AND VIJAYA J SHAH MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAY H AND VIJAYA J SHAH MD",
        "enumeration_date": "2006-04-08",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN-OWNER",
        "authorized_official_telephone_number": "215-322-9292",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010343440006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC-HMO",
            "identifier": "0423947002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008385670005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEY STONE MERCY-PA",
            "identifier": "1017977",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aisha Jackson, BCBA
• Raymond Jaffe, PHARMD
• Sandraliz Bercilla Jano
• Sat Pal Jassal, AU.D.
• Jay B. Schwartz
• Jcbdpm P.L.L.C.
• Jefferson Acute Care Physicians, PC
• Jemilex, Inc
• Amber Jenkins, LPC
• Donna Jenkins, LPC

• All providers in Bensalem, PA
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.