Dipti Shah

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F10230389 Issued in NJ

Practice address

1111 Huntingdon Mews
Clementon, NJ 08021-5649

Phone

(856) 308-2974

NPI assigned

Jan 3, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1336919166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FELLOWSHIP RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HUNTINGDON MEWS",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080215649",
            "telephone_number": "856-308-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DIPTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "F10230389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty A Rivera-Sanchez, PHD
• Brandy Shawnte Robinson, RDH/PMUA
• Alicia Ruddy, MA, LPC, NCC
• Caneel Schipper, LAC, NCC
• Deana Scruggs
• Fateemah Shakur, LSW
• Adam Shaw, LSW
• Amit Sheth, PHARMD.
• Adelyn N Simeone, BCBA
• SK Passion

• Family Nurse Practitioner in Clementon, NJ
• Providers in Clementon, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.