Active NPI
Nirav R Shah, DPM
- Primary Podiatric Medicine Podiatrist
- Denville, NJ
National Provider Identifier
1225315716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- P76213
- Practice address
- 58 Nicole Dr
Denville, NJ 07834-9531 - Phone
- (973) 570-2996
- NPI assigned
- Nov 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | P76213 | NY | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | P76213 | NY | Primary |
Addresses
Primary practice location
58 Nicole Dr
Denville, NJ 07834-9531
Mailing address
58 Nicole Dr
Denville, NJ 07834-9531
Phone (973) 570-2996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P76213 | NY | MD | Primary Podiatric Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1225315716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 NICOLE DR",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078349531",
"telephone_number": "973-570-2996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 NICOLE DR",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078349531",
"telephone_number": "973-570-2996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "NIRAV",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-10",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "P76213",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NY",
"license": "P76213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.