Individual provider Active NPI

Niranjan R Shah, R.PH.,

  • Pharmacist
  • Riverdale, NJ
National Provider Identifier
1588814875
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI01463300 Issued in NJ
Practice address
1 S Corporate Dr
Suite D- 2ND Floor
Riverdale, NJ 07457-1718
Phone
(973) 513-9036
Fax
(973) 513-9037
NPI assigned
Sep 24, 2008
Last updated
Jan 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01463300 NJ Primary

Addresses

Primary practice location

1 S Corporate Dr
Suite D- 2ND Floor
Riverdale, NJ 07457-1718

Mailing address

1 S Corporate Dr
Suite D- 2ND Floor
Riverdale, NJ 07457-1718
Phone (973) 513-9036

Other names 1

  • Mr. Niru R Shah Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI01463300NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bleeding Disorders Resource Network, LLC Past Accepting new patients

Organizations & group practices 1

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": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1588814875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S CORPORATE DR",
            "address_2": "SUITE D- 2ND FLOOR",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571718",
            "telephone_number": "973-513-9036",
            "fax_number": "973-513-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S CORPORATE DR",
            "address_2": "SUITE D- 2ND FLOOR",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571718",
            "telephone_number": "973-513-9036",
            "fax_number": "973-513-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIRANJAN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "R.PH.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01463300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIRU",
            "last_name": "SHAH",
            "middle_name": "R",
            "prefix": "MR.",
            "credential": "R.PH.,",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Riverdale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.