Active NPI
Sneha Shah, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN27406
- 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, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN27406 | FL | MD | Oral and Maxillofacial Surgery (Dentist) |
| 22DI02714300 | NJ | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Barnabas Health Medical Group, PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | 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.
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Specialist
- West Orange, NJ
- NPI 1447206420
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.