Individual provider Active NPI

Nisha Shah, O.D.

  • Optometrist
  • Robbinsville, NJ
National Provider Identifier
1285981431
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00639400 Issued in NJ
Practice address
1140 US Highway 130 Ste 5
Robbinsville, NJ 08691-1137
Phone
(609) 223-0999
Fax
(973) 629-1115
NPI assigned
Aug 7, 2012
Last updated
Nov 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00639400 NJ Primary

Addresses

Primary practice location

1140 US Highway 130 Ste 5
Robbinsville, NJ 08691-1137

Mailing address

189 Browertown Rd
Woodland Park, NJ 07424-2609

Other practice location 1

1126 US Highway 9
Old Bridge, NJ 08857-2860
Phone (732) 525-8685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20121016000232 NJ Practitioner - Optometry 4183874845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1126 US Hwy 9
Old Bridge, NJ 08857-2860
Phone (732) 525-8685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Vision Optometrist CurrentSince Feb 6, 2019 Accepting new patients

Locations

1126 US Highway 9
Old Bridge, NJ 08857
Phone (732) 515-8685

1140 US Highway 130
Robbinsville, NJ 08691
Phone (609) 357-4240

1140 US Highway 130
Ste 5
Robbinsville, NJ 08691
Phone (609) 223-0999

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1285981431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 BROWERTOWN RD",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 US HIGHWAY 130 STE 5",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086911137",
            "telephone_number": "609-223-0999",
            "fax_number": "973-629-1115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1126 US Highway 9",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088572860",
            "country_code": "US",
            "telephone_number": "732-525-8685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NISHA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00639400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsville, NJ

Sources for this page

Verify at the official NPI Registry.