Individual provider Active NPI

Disha Makanji, P.A.

  • Medical Physician Assistant
  • North Easton, MA
National Provider Identifier
1598005530
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
002866 Issued in CT
Practice address
15 Roche Bros Way
North Easton, MA 02356-1000
Phone
(781) 344-3535
Fax
(866) 388-2185
NPI assigned
Feb 28, 2013
Last updated
May 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 002866 CT Primary

Addresses

Primary practice location

15 Roche Bros Way
North Easton, MA 02356-1000

Mailing address

15 Roche Bros Way
North Easton, MA 02356-1000
Phone (781) 344-3535

Other names 1

  • Disha Shah Former 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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002866CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Care Physician Network, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dmakanji444743@direct.ynhh.org

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": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1598005530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ROCHE BROS WAY",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561000",
            "telephone_number": "781-344-3535",
            "fax_number": "866-388-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ROCHE BROS WAY",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561000",
            "telephone_number": "781-344-3535",
            "fax_number": "866-388-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKANJI",
        "first_name": "DISHA",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "002866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DISHA",
            "last_name": "SHAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Easton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.