Organization Active NPI

Teju Shah MD PC

  • Physical Medicine & Rehabilitation Physician
  • Burlington, MA
National Provider Identifier
1336537810
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
TEJU SHAH MD PC
Practice address
10 Cranberry LN
Burlington, MA 01803-3940
Phone
(781) 270-7874
NPI assigned
Jan 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Authorized official

Name
Tejaswini Shah
Title
Owner
Phone
(781) 270-7874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

10 Cranberry LN
Burlington, MA 01803-3940

Mailing address

10 Cranberry LN
Burlington, MA 01803-3940

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1336537810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CRANBERRY LN",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CRANBERRY LN",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033940",
            "telephone_number": "781-270-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEJU SHAH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "TEJASWINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-270-7874"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.