Active NPI
Shwetambara Parakh, MD, FACS
- Plastic Surgery Physician
- Englewood, NJ
National Provider Identifier
1285889766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 25MA09755500
- Practice address
- 370 Grand Ave Suite 202
Parakh Plastic Surgury
Englewood, NJ 07631 - Phone
- (201) 567-1919
- Fax
- (201) 567-1955
- NPI assigned
- Nov 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 25MA09755500 | NJ | Primary |
Addresses
Primary practice location
370 Grand Ave Suite 202
Parakh Plastic Surgury
Englewood, NJ 07631
Mailing address
370 Grand Ave Suite 202
Parakh Plastic Surgury
Englewood, NJ 07631
Phone (201) 567-1919
Other practice location 1
351 Evelyn St
Paramus, NJ 07652-2901
Phone (201) 265-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09755500 | NJ | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cosmedical Plastic Surgery & Dermatology, PA | Current | Accepting new patients |
Locations
351 Evelyn St
Paramus, NJ 07652
Phone (201) 265-1300
351 Evelyn St
Ste 201
Paramus, NJ 07652
Phone (201) 265-1300
Interoperability endpoints
- pshwetambara190087@ahs.direct-ci.com
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.
-
dba Baxt CosMedical
- Dermatology Physician
- Paramus, NJ
- NPI 1770896029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597536000000",
"number": "1285889766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 GRAND AVE SUITE 202",
"address_2": "PARAKH PLASTIC SURGURY",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "07631",
"telephone_number": "201-567-1919",
"fax_number": "201-567-1955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 GRAND AVE SUITE 202",
"address_2": "PARAKH PLASTIC SURGURY",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "07631",
"telephone_number": "201-567-1919",
"fax_number": "201-567-1955"
}
],
"practiceLocations": [
{
"address_1": "351 Evelyn St",
"address_purpose": "LOCATION",
"city": "Paramus",
"state": "NJ",
"postal_code": "076522901",
"country_code": "US",
"telephone_number": "201-265-1300",
"fax_number": "201-265-3737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARAKH",
"first_name": "SHWETAMBARA",
"credential": "MD, FACS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-25",
"last_updated": "2020-08-16",
"certification_date": "2020-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NJ",
"license": "25MA09755500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.