Nishit Shah, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02471600 Issued in NJ

Practice address

120 Center Square Rd Ste 205
Woolwich Township, NJ 08085-1864

Phone

(856) 294-6767

NPI assigned

Mar 22, 2011

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1528367190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CENTER SQUARE RD STE 205",
            "city": "WOOLWICH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080851864",
            "telephone_number": "856-294-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CENTER SQUARE RD STE 205",
            "city": "WOOLWICH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080851864",
            "telephone_number": "856-294-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NISHIT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-22",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02471600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura W. Monahon, PSYD
• Heather Mulherin, PA-C
• Neurobehavioral Wellness Center
• Sirin Pandey, MD
• Sarah Pollack, APN
• Jacqueline S Sonsini, PT
• Thrive Home Therapy LLC
• Underwood-Memorial Hospital
• Marissa B. Weiss-Baker, DO
• Kia N Williams

• Dentist in Woolwich Township, NJ
• Providers in Woolwich Township, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.