Organization Active NPI

Shwetambara Parakh MD LLC

  • Plastic Surgery Physician
  • Englewood, NJ
National Provider Identifier
1174044481
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA09755500 Issued in NJ
Legal business name
SHWETAMBARA PARAKH MD LLC
Practice address
106 Grand Ave Ste 490
Englewood, NJ 07631-3596
Phone
(201) 567-1919
NPI assigned
Jun 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Shwetambara Parakh
Title
Doctor
Phone
(201) 567-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 25MA09755500 NJ Primary

Addresses

Primary practice location

106 Grand Ave Ste 490
Englewood, NJ 07631-3596

Mailing address

106 Grand Ave Ste 490
Englewood, NJ 07631-3596
Phone (201) 567-1919

National Provider Directory

National Provider Directory

Locations

106 Grand Ave
Ste 490
Englewood, NJ 07631
Phone (201) 567-1919

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174044481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 GRAND AVE STE 490",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313596",
            "telephone_number": "201-567-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 GRAND AVE STE 490",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313596",
            "telephone_number": "201-567-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHWETAMBARA PARAKH MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PARAKH",
        "authorized_official_first_name": "SHWETAMBARA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "201-567-1919"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA09755500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.