Purvi Shah, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00677100 Issued in NJ

Practice address

775 Route 1 Ste 13
Edison, NJ 08817-4681

Phone

(732) 623-2129

Fax

(732) 572-3087

NPI assigned

Nov 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ehg NJ Service LLCGroup PAC ID 9335556315, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ehg NJ Service LLC

  • Optometrist
  • Springfield, NJ
  • NPI 1285222877
  Medicare reassignment Care Compare group
• National Vision, Inc.

  dba America's Best Contacts & Eyeglasses

  • Optician
  • Edison, NJ
  • NPI 1649775107
  NPD (past)

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

{
    "created_epoch": "1511568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1114431483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 AMHERST CT",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024559",
            "telephone_number": "732-763-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 ROUTE 1 STE 13",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174681",
            "telephone_number": "732-623-2129",
            "fax_number": "732-572-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PURVI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-25",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00677100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nrupa Shah, DPM
• Palak Shah, NP
• Parnisha Shah
• Pooja Shah, MD
• Pradip A Shah, MD
• Purvi Shah
• Romil Fenil Shah, MD
• Shefali K Shah, OTR/L
• Shriya Shah, APN
• Siddharth A Shah, M.D.

• Optometrist in Edison, NJ
• Providers in Edison, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.