Rutu Shah

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

061831 Issued in NY

Practice address

5 Hudson Valley Professional Plaza
Newburgh, NY 12550

Phone

(845) 562-5570

NPI assigned

Oct 14, 2019

Last updated

Jan 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1295377059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 FOLTIM WAY",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201424",
            "telephone_number": "845-270-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HUDSON VALLEY PROFESSIONAL PLAZA",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12550",
            "telephone_number": "845-562-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 Foltim Way",
            "address_purpose": "LOCATION",
            "city": "Congers",
            "state": "NY",
            "postal_code": "109201424",
            "country_code": "US",
            "telephone_number": "845-270-3359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RUTU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "061831",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "061831",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elvina Shagieva, MD
• Anjali N Shah, MD
• Nirav D Shah, MD
• Parth M. Shah, M.D.
• Rashmi Shah, MSW
• Dorian Kim Shann, DPT, CSCS
• Shmuel Shapira, MD
• Stephen Barry Shapiro, MD
• Sharon Jolly & Associates, LLC
• Sharon Jolly Audiology & Speech Language Pathology, LLC

• Pediatric Dentistry in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.