Shivm A Shah, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02882100 Issued in NJ

Practice address

397 Chestnut St
Union, NJ 07083-9429

Phone

(862) 347-3239

NPI assigned

Apr 6, 2021

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Shivm Shah, PC

  • General Practice Dentistry
  • Union, NJ
  • NPI 1992698641
  NPD Authorized official
• Eastern Dental of Flemington, LLC

  • General Practice Dentistry
  • Flemington, NJ
  • NPI 1467621490
  NPD (past)

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749340800000",
    "number": "1144809278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 US HIGHWAY 202",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088226041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 CHESTNUT ST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070839429",
            "telephone_number": "862-347-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHIVM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-06-08",
        "certification_date": "2025-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02882100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zainab Shabber
• Amit Shah, M.D.
• Nehaben Ketankumar Shah, M.D.
• Prafulla Shah, M.D.
• Ramesh Shah, M.D.
• Radislav Shastun
• Alyssa Sheer
• Marshall Robert Sherman, D.D.S.
• Jun Zenobia Shim, N.P.
• Shivm Shah, PC

• Dentist in Union, NJ
• Providers in Union, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2025; 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.