Dollyben Shah

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01725700 Issued in NJ

Practice address

3903 Sunny Slope Rd
Bridgewater, NJ 08807-3625

Phone

(469) 601-4950

NPI assigned

May 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Healing Joints Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Edison, NJ
  • NPI 1760660500

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1235666991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 SUNNY SLOPE RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073625",
            "telephone_number": "469-601-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 SUNNY SLOPE RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073625",
            "telephone_number": "469-601-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DOLLYBEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1284199",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01725700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lou-Wanda Seno
• Ariana Serillo
• Geralyn (Lyn) L. Serino, MSW, LCSW
• David Serratelli, D.M.D.
• Olubusayo Seyi-Adeyemo
• Izzat H Shah, MD
• Meeta V Shah, DDS
• Snehal Shah, PHARM D, RPH, CCP
• Chandreshwar N Shahi, MD, FACC
• Shazad Shaikh, M.D.

• Physical Therapist in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.