Gaurav P. Shah, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DR03244 Issued in NJ

Practice address

5650 Route 42
Blackwood, NJ 08012-1045

Phone

(856) 302-7026

NPI assigned

Jul 10, 2018

Sex

Male

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gpsdmd LLC

  • Dental Clinic/Center
  • Warren, NJ
  • NPI 1063284321
  NPD Authorized official
• Washington Township LV Dental LLC

  • General Practice Dentistry
  • Blackwood, NJ
  • NPI 1740063411
  NPD

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1366938656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LIBERTY DR",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088101614",
            "telephone_number": "732-763-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 ROUTE 42",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080121045",
            "telephone_number": "856-302-7026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 2nd Ave # S233",
            "address_purpose": "LOCATION",
            "city": "Long Branch",
            "state": "NJ",
            "postal_code": "077406395",
            "country_code": "US",
            "telephone_number": "732-923-6583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 2nd Ave # S233",
            "address_purpose": "LOCATION",
            "city": "Long Branch",
            "state": "NJ",
            "postal_code": "077406395",
            "country_code": "US",
            "telephone_number": "732-923-6583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "GAURAV",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DR03244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Savicky, PHD
• Tiffany Scarduzio
• Matthew Justin Schmidt, P.T.
• Heather Schmutz, MSW LCSW
• Caroline I Scott
• Marissa Singh, APN
• Caitlin Smith
• Jennifer Smith, COTA/L
• Neil Soni, DO
• Sonya Staffing

• General Practice Dentistry in Blackwood, NJ
• Providers in Blackwood, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.