Organization Active NPI

Darshan J Shah MD LLC

  • Registered Dietitian
  • Enfield, CT
National Provider Identifier
1225516305
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
001390 Issued in CT
Legal business name
DARSHAN J SHAH MD LLC
Practice address
139 Hazard Ave
BLDG #4
Enfield, CT 06082
Phone
(860) 783-0208
Fax
(860) 763-0224
NPI assigned
Aug 1, 2018
Organization subpart
Yes
Parent organization
DARSHAN J SHAH MD LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Authorized official

Name
Pinki Shah
Title
Business Manager
Phone
(860) 763-0208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 001390 CT Primary

Addresses

Primary practice location

139 Hazard Ave
BLDG #4
Enfield, CT 06082

Mailing address

139 Hazard Ave
BLDG #4
Enfield, CT 06082
Phone (860) 763-0208

National Provider Directory

National Provider Directory
Part of
Darshan J Shah MD LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1225516305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 HAZARD AVE",
            "address_2": "BLDG #4",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "06082",
            "telephone_number": "860-763-0208",
            "fax_number": "860-763-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 HAZARD AVE",
            "address_2": "BLDG #4",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "06082",
            "telephone_number": "860-783-0208",
            "fax_number": "860-763-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARSHAN J SHAH MD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DARSHAN J SHAH MD LLC",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PINKI",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "860-763-0208"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "001390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.