Individual provider Active NPI

Bilal Shah, DC

  • Chiropractor
  • New York, NY
National Provider Identifier
1588037220
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012711 Issued in NY
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

Updated by the provider on Dec 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20250312000380 NJ Practitioner - Chiropractic 8022539600 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012711NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Journal SQ Spine & Wellness Center LLC Chiropractor CurrentSince Mar 4, 2025 Accepting new patients
Mahcel Rehab PT PC PastSince Apr 1, 2022 Accepting new patients
Kamel Rehab Care PT PC PastSince Apr 10, 2022 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.

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.

Verify at the official NPI Registry.