Rupal Bhagat Shah, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

009691-01 Issued in NY

Practice address

193 Grand St
Brooklyn, NY 11211-4209

Phone

(910) 995-4889

NPI assigned

Nov 2, 2013

Last updated

May 18, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1235568072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 S HANCOCK ST",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 GRAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112114209",
            "telephone_number": "910-995-4889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3575 Route 66",
            "address_purpose": "LOCATION",
            "city": "Neptune",
            "state": "NJ",
            "postal_code": "077532602",
            "country_code": "US",
            "telephone_number": "732-918-8075",
            "fax_number": "732-316-1437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RUPAL",
        "middle_name": "BHAGAT",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009691-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "27OA00650500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rashesh M Shah, PHARM D
• Ravindra Shah, M.D.
• Rizwan S Shah, PHARMD
• Roshni Shah, RPA-C
• Ruchi R Shah, PT
• Rutvi Shah
• Sagar Shah, DMD
• Saloni Jaydeepkumar Shah, PT
• Shaili Shah, RPH
• Shani Shah, PT

• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.