Active NPI
Foram Shah, OD
- Optometrist
- Watchung, NJ
National Provider Identifier
1477016459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00685500
- Practice address
- 1515 Route 22 W
Watchung, NJ 07069-6509 - Phone
- (973) 769-9548
- NPI assigned
- Apr 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00685500 | NJ | Primary |
Addresses
Primary practice location
1515 Route 22 W
Watchung, NJ 07069-6509
Mailing address
1515 US Highway 22 W
Watchung, NJ 07069-6509
Phone (908) 546-4404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00685500 | NJ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1477016459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 US HIGHWAY 22 W",
"city": "WATCHUNG",
"state": "NJ",
"postal_code": "070696509",
"telephone_number": "908-546-4404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 ROUTE 22 W",
"city": "WATCHUNG",
"state": "NJ",
"postal_code": "070696509",
"telephone_number": "973-769-9548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "FORAM",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-08",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00685500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watchung, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.