Active NPI
Shana Shah, SPEECH AND LANGUAGE
- Speech-Language Pathologist
- Voorhees, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS500571200
- Practice address
- 200 Bowman Drive
Suite D285
Voorhees, NJ 08043 - Phone
- (856) 602-4000
- Fax
- (856) 946-1747
- NPI assigned
- Jul 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | SL011354 | PA | |
| Speech-Language Pathologist | 235Z00000X | 41YS500571200 | NJ | Primary |
Addresses
Primary practice location
200 Bowman Drive
Suite D285
Voorhees, NJ 08043
Mailing address
1020 North Kings Highway
Suite 201
Cherry Hill, NJ 08034
Phone (856) 602-4000
Other names 1
- Shana Fogarty
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
204 Ark Rd
Suite 102
Mount Laurel, NJ 08054-3100
Phone (856) 576-5743
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.54 of 100
- Quality
- 89.88
- Promoting interoperability
- 87
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL011354 | PA | MD | Specialist |
| 41YS500571200 | NJ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy Associates LLP | Current | Accepting new patients |
Locations
204 Ark Rd
Ste 102
Mount Laurel, NJ 08054
Phone (856) 576-5743
1131 Broad St
Ste 103
Shrewsbury, NJ 07702
Phone (732) 389-2438
200 Bowman Dr
Ste D285
Voorhees, NJ 08043
Phone (856) 576-5746
620 N Broad St
Woodbury, NJ 08096
Phone (856) 602-4000
660 White Plains Rd
Fl 4
Tarrytown, NY 10591
Phone (914) 984-2546
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1407262132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 NORTH KINGS HIGHWAY",
"address_2": "SUITE 201",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "08034",
"telephone_number": "856-602-4000",
"fax_number": "856-842-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BOWMAN DRIVE",
"address_2": "SUITE D285",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "08043",
"telephone_number": "856-602-4000",
"fax_number": "856-946-1747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SHANA",
"credential": "SPEECH AND LANGUAGE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-02",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "SL011354",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS500571200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANA",
"last_name": "FOGARTY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.