Individual provider Active NPI

Puja Shah, DMD

  • Dentist
  • Ambler, PA
National Provider Identifier
1245844927
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS042906 Issued in PA
Practice address
602 S Bethlehem Pike Ste C2
Ambler, PA 19002-5800
Phone
(484) 544-0601
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS042906 PA Primary

Addresses

Primary practice location

602 S Bethlehem Pike Ste C2
Ambler, PA 19002-5800

Mailing address

3900 City Ave Apt A1222
Philadelphia, PA 19131-7711

Other practice location 1

137 Montgomery Ave
Boyertown, PA 19512-1300
Phone (610) 473-0717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241007003174 PA Practitioner - Dentist 3072044650 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Silvana Cumani DMD and Associates PC CurrentSince Sep 19, 2024 Accepting new patients

Locations

2200 Montrose St
Philadelphia, PA 19146
Phone (215) 545-4395

2675 E Cumberland St
Philadelphia, PA 19125
Phone (215) 426-7307

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1245844927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CITY AVE APT A1222",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191317711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S BETHLEHEM PIKE STE C2",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190025800",
            "telephone_number": "484-544-0601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 Montgomery Ave",
            "address_purpose": "LOCATION",
            "city": "Boyertown",
            "state": "PA",
            "postal_code": "195121300",
            "country_code": "US",
            "telephone_number": "610-473-0717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PUJA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ambler, PA

Sources for this page

Verify at the official NPI Registry.