Individual provider Active NPI

Shilpa Narsing Kumta, M.D.

  • Pediatric Endocrinology Physician
  • Paramus, NJ
National Provider Identifier
1205115607
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
25MA10200300 Issued in NJ
Practice address
140 E Ridgewood Ave Ste 480N
Paramus, NJ 07652-3917
Phone
(201) 447-8182
Fax
(201) 523-9635
NPI assigned
Aug 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 25MA10200300 NJ Primary

Addresses

Primary practice location

140 E Ridgewood Ave Ste 480N
Paramus, NJ 07652-3917

Mailing address

140 E Ridgewood Ave Ste 480
Paramus, NJ 07652-3917
Phone (347) 922-1463

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180131000432 NJ Practitioner - Pediatric Medicine 0648444091 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10200300NJMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince Dec 1, 2017 Accepting new patients

Locations

140 E Ridgewood Ave
Ste 480
Paramus, NJ 07652

140 E Ridgewood Ave
Ste 480N
Paramus, NJ 07652
Phone (201) 447-8151

579 Franklin Tpke
Ridgewood, NJ 07450
Phone (201) 251-3480

Organizations & group practices 1

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": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1205115607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E RIDGEWOOD AVE STE 480",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523917",
            "telephone_number": "347-922-1463",
            "fax_number": "201-523-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E RIDGEWOOD AVE STE 480N",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523917",
            "telephone_number": "201-447-8182",
            "fax_number": "201-523-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMTA",
        "first_name": "SHILPA",
        "middle_name": "NARSING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NJ",
            "license": "25MA10200300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.