Active NPI
Ami Dinesh Shah, MD
- Diagnostic Radiology Physician
- East Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA09134900
- Practice address
- 483 Cranbury Rd
East Brunswick, NJ 08816-3610 - Phone
- (732) 390-0040
- Fax
- (732) 390-1856
- NPI assigned
- Jun 17, 2008
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA09134900 | NJ | Primary |
Addresses
Primary practice location
483 Cranbury Rd
East Brunswick, NJ 08816-3610
Mailing address
579A Cranbury Rd
East Brunswick, NJ 08816-5426
Phone (732) 390-0040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03479994 | Medicaid | NY | |
| 0298921 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Icahn School of Medicine at Mount Sinai, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Portland Ave
Brooklyn, NY 11205-2005
Phone (718) 616-3885
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Fpa Hospital Based | Diagnostic Radiology | Current | Accepting new patients |
| Fpa Hospital Based | Current | Accepting new patients | |
| Teaneck Radiology Center LLC | Past | Accepting new patients | |
| Medical Imaging of Teaneck Inc. | Past | Accepting new patients |
Locations
100 N Portland Ave
Brooklyn, NY 11205
Phone (718) 260-7500
3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600
8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929
50 Water St
Fl 3
New York, NY 10004
227 Madison St
New York, NY 10002
Phone (212) 238-7000
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
227 Madison St
Fl First
New York, NY 10002
Phone (212) 238-7071
1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- ashah1853365@nychhc.direct-ci.com
Organizations & group practices 9
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.
-
- Clinic/Center
- New York, NY
- NPI 1548208127
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1942543889
-
- Clinic/Center
- Bronx, NY
- NPI 1003824608
-
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- Mobile Radiology Clinic/Center
- Teaneck, NJ
- NPI 1164466926
-
- Radiology Clinic/Center
- Teaneck, NJ
- NPI 1851445027
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1043224355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373587200000",
"number": "1558522144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "579A CRANBURY RD",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088165426",
"telephone_number": "732-390-0040",
"fax_number": "732-390-1856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 CRANBURY RD",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163610",
"telephone_number": "732-390-0040",
"fax_number": "732-390-1856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "AMI",
"middle_name": "DINESH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-17",
"last_updated": "2013-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA09134900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03479994",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0298921",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.