Organization Active NPI

Shah Rehabilitation Group LLC

  • Physical Therapy Clinic/Center
  • Hoboken, NJ
National Provider Identifier
1295347565
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SHAH REHABILITATION GROUP LLC
Practice address
1115 Grand St Apt 5B
Hoboken, NJ 07030-2260
Phone
(201) 893-7424
NPI assigned
Aug 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Dr. Shounak G Shah, PT, DPTNPI 1407191448
Title
Founder/Ceo
Phone
(201) 893-7424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1115 Grand St Apt 5B
Hoboken, NJ 07030-2260

Mailing address

1115 Grand St Apt 5B
Hoboken, NJ 07030-2260
Phone (201) 893-7424

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1295347565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 GRAND ST APT 5B",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302260",
            "telephone_number": "201-893-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 GRAND ST APT 5B",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302260",
            "telephone_number": "201-893-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH REHABILITATION GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHOUNAK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "201-893-7424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.