Kishori Shah, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

02911000 Issued in NJ

Practice address

40 Stirling Rd
Ste., 205
Watchung, NJ 07069-5900

Phone

(908) 769-1084

Fax

(908) 769-4139

NPI assigned

Jan 30, 2006

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Olena Medical New Jersey LLC

  • Anesthesiology Physician
  • Fairview, NJ
  • NPI 1386180461
  Medicare reassignment NPD
• Surgicare of Central Jersey, LLC

  • Clinic/Center
  • Watchung, NJ
  • NPI 1972526242
  NPD
• Broadway Anesthesia Providers, LLC

  • Anesthesiology Physician
  • Paterson, NJ
  • NPI 1093046179
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1225009111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 STIRLING RD",
            "address_2": "STE., 205",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695900",
            "telephone_number": "908-769-1084",
            "fax_number": "908-769-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 STIRLING RD",
            "address_2": "STE., 205",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695900",
            "telephone_number": "908-769-1084",
            "fax_number": "908-769-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KISHORI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "02911000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0176508",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madelyn R Sabino
• Stephanie Saint Jean
• Kaitlyn Santucci
• Donna Saunders, LCADC, LSW
• Foram Shah, OD
• Rohal D Shah
• Ronald Howard Sheppard, D.P.M.
• Kayla Lindsay Sheridan, LSW
• Dana Silagi, DDS, MS
• Risa Silverstein

• Anesthesiology Physician in Watchung, NJ
• Providers in Watchung, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.