Individual provider Active NPI

Simran Bains

  • Podiatrist
  • Kendall Park, NJ
National Provider Identifier
1467073015
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00375700 Issued in NJ
Practice address
3176 NJ-27
Suite 1C
Kendall Park, NJ 08824
Phone
(732) 297-9535
NPI assigned
May 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Podiatrist 213E00000X 25MD00375700 NJ Primary

Addresses

Primary practice location

3176 NJ-27
Suite 1C
Kendall Park, NJ 08824

Mailing address

423 E 23Rd St
New York, NY 10010-5011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429001027 NJ Practitioner - Podiatry 1658711346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amit Shah DPM LLCGroup PAC ID 7911170360, 2 clinicians

Practice addresses (Care Compare)

3176 Route 27
Suite 1C
Kendall Park, NJ 08824-1002
Phone (732) 297-9535

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00375700NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Amit Shah DPM LLC Podiatrist CurrentSince Mar 20, 2024 Accepting new patients
Amit Shah, DPM, LLC CurrentSince Mar 20, 2024 Accepting new patients

Locations

109 S Main St
Ste 23
Cranbury, NJ 08512
Phone (609) 662-9800

619 Amboy Ave
Edison, NJ 08837
Phone (732) 661-1121

3176 State Route 27
Ste 1C
Kendall Park, NJ 08824
Phone (732) 297-9535

2864 State Route 27
Ste I
North Brunswick, NJ 08902
Phone (732) 297-9535

Organizations & group practices 2

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": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1467073015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 E 23RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3176 NJ-27",
            "address_2": "SUITE 1C",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "08824",
            "telephone_number": "732-297-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAINS",
        "first_name": "SIMRAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00375700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall Park, NJ

Sources for this page

Verify at the official NPI Registry.