Active NPI
Darshan J Shah MD LLC
- Registered Dietitian
- Enfield, CT
National Provider Identifier
1225516305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 001390
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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.
-
- Internal Medicine Physician
- Enfield, CT
- NPI 1366776775
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Enfield, CT
- NPI 1558355750
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.