Deepti Nishit Shah, M.P.T

Primary specialty

SpecialistTaxonomy code 174400000X

License

035892 Issued in NY

Practice address

927 Willow Ave Apt 5
Hoboken, NJ 07030-3029

Phone

(201) 774-0746

NPI assigned

Jun 11, 2014

Last updated

Jun 11, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Deepti Kantilal Gadda Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1205240892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 WILLOW AVE APT 5",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303029",
            "telephone_number": "201-774-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 WILLOW AVE APT 5",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303029",
            "telephone_number": "201-774-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DEEPTI",
        "middle_name": "NISHIT",
        "credential": "M.P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "035892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEEPTI",
            "last_name": "GADDA",
            "middle_name": "KANTILAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dina Lee Sgambati, D.C.
• Carly Shaffer, LCSW, LCADC
• Shah Rehabilitation Group LLC
• Amit A. Shah, M.D.
• Anuja Shah, M.D.
• Jay P Shah, M.D.
• Nazia Shah, DPM
• Paulin Shah
• Sheena Shah, DPT
• Shounak Shah, PT, DPT

• Specialist in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.