Active NPI
Bilal Shah, DC
- Chiropractor
- New York, NY
National Provider Identifier
1588037220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 012711
- Practice address
- 440 Audubon Ave
440 Audobon Ave
New York, NY 10040-4502 - Phone
- (212) 795-0282
- NPI assigned
- Nov 3, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 012711 | NY | Primary |
Addresses
Primary practice location
440 Audubon Ave
440 Audobon Ave
New York, NY 10040-4502
Mailing address
440 Audubon Ave
440 Audobon Ave
New York, NY 10040-4502
Phone (212) 795-0282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012711 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journal SQ Spine & Wellness Center LLC | Chiropractor | Current | Accepting new patients |
| Mahcel Rehab PT PC | Past | Accepting new patients | |
| Kamel Rehab Care PT PC | Past | Accepting new patients |
Locations
35 Journal Sq
Ste 502
Jersey City, NJ 07306
Phone (201) 763-7521
Organizations & group practices 3
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.
-
- Chiropractor
- Jersey City, NJ
- NPI 1083256721
-
- Clinic/Center
- New York, NY
- NPI 1568104958
-
- Physical Therapist
- New York, NY
- NPI 1669854600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1588037220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 AUDUBON AVE",
"address_2": "440 AUDOBON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100404502",
"telephone_number": "212-795-0282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 AUDUBON AVE",
"address_2": "440 AUDOBON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100404502",
"telephone_number": "212-795-0282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "BILAL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-03",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "012711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.