Individual provider Active NPI

Sneha Shah, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Tampa, FL
National Provider Identifier
1588184709
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN27406 Issued in FL
Practice address
15148 N Dale Mabry Hwy
Tampa, FL 33618-1817
Phone
(813) 855-3510
Fax
(813) 265-8126
NPI assigned
Jun 20, 2017
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22DI02714300 NJ
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN27406 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X NJ

Addresses

Primary practice location

15148 N Dale Mabry Hwy
Tampa, FL 33618-1817

Mailing address

9 Garnet Ter
Livingston, NJ 07039-2301
Phone (973) 533-0058

Other practice location 1

703 Main St
Paterson, NJ 07503-2621
Phone (877) 757-7547

Other practice location 2

1060 W Busch Blvd Ste 105
Tampa, FL 33612-7707
Phone (813) 776-4575

Other practice location 3

2091 Collier Pkwy
Land O Lakes, FL 34639-5202
Phone (813) 995-7553

Other practice location 4

13146 US Highway 301 S
Riverview, FL 33578-7410
Phone (813) 822-9803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260109001022 NJ Practitioner - Oral Surgery 9830675859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Rutgers School of Dental Medicine, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 W Gilbert St
Tinton Falls, NJ 07701-4948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN27406FLMDOral and Maxillofacial Surgery (Dentist)
22DI02714300NJMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Nov 1, 2025 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Nov 1, 2025 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Nov 1, 2025 Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

418 Summit Ave
Fl 1
Jersey City, NJ 07306

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1588184709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GARNET TER",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392301",
            "telephone_number": "973-533-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15148 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181817",
            "telephone_number": "813-855-3510",
            "fax_number": "813-265-8126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 Main St",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075032621",
            "country_code": "US",
            "telephone_number": "877-757-7547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 W Busch Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336127707",
            "country_code": "US",
            "telephone_number": "813-776-4575",
            "fax_number": "813-327-5494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2091 Collier Pkwy",
            "address_purpose": "LOCATION",
            "city": "Land O Lakes",
            "state": "FL",
            "postal_code": "346395202",
            "country_code": "US",
            "telephone_number": "813-995-7553",
            "fax_number": "813-364-0137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13146 US Highway 301 S",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335787410",
            "country_code": "US",
            "telephone_number": "813-822-9803",
            "fax_number": "813-364-0136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SNEHA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02714300",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN27406",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.