Individual provider Active NPI

Prarthana Rushabh Shah Parmani, M.D.

  • Pediatrics Physician
  • East Rutherford, NJ
National Provider Identifier
1245495274
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA08421200 Issued in NJ
Practice address
408 River Renaissance
East Rutherford, NJ 07073-1631
Phone
(201) 214-6352
NPI assigned
Jul 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA08421200 NJ Primary

Addresses

Primary practice location

408 River Renaissance
East Rutherford, NJ 07073-1631

Mailing address

408 River Renaissance
East Rutherford, NJ 07073-1631
Phone (201) 214-6352

Other names 1

  • Prarthana Dipak Shah Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111107000198 CA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1557534641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08421200NJMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1245495274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 RIVER RENAISSANCE",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731631",
            "telephone_number": "201-214-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 RIVER RENAISSANCE",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731631",
            "telephone_number": "201-214-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH PARMANI",
        "first_name": "PRARTHANA",
        "middle_name": "RUSHABH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08421200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRARTHANA",
            "last_name": "SHAH",
            "middle_name": "DIPAK",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.