Shambhavi, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

25MA08864300 Issued in NJ

Legal business name

SHAMBHAVI, LLC

Practice address

77 Hudson St
Unit #3107
Jersey City, NJ 07302-8517

Phone

(914) 648-9228

NPI assigned

Oct 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Malini B Rao, MD

Title

Ceo

Phone

(914) 648-9228

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349568000000",
    "number": "1346592904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073030406",
            "telephone_number": "914-648-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HUDSON ST",
            "address_2": "UNIT #3107",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073028517",
            "telephone_number": "914-648-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMBHAVI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-07",
        "last_updated": "2012-10-07",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "MALINI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-648-9228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA08864300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hussein Ibrahim Shahin, RPH
• Mahammad Rafi Shaik, PT
• Alan Marc Shaiman, MD
• Ibn Sharif Shakoor, LPC
• Eriny Mourzak Shalaby
• Tracy Shannon
• Jamie Shapiro
• Saad Sharif, M.D
• Anita Sharma, OTR/L
• Misha Sharma, APN

• Pain Medicine (Anesthesiology) Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Pain Medicine (Anesthesiology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2012; 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.