Individual provider Active NPI

Javad Sholehvar, M.D.

  • Otolaryngology Physician
  • Emmaus, PA
National Provider Identifier
1598099111
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD 031405 L Issued in PA
Practice address
708 Eagle Dr
Emmaus, PA 18049-1933
Phone
(484) 788-9674
Fax
(484) 788-9674
NPI assigned
Sep 29, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD 031405 L PA Primary

Addresses

Primary practice location

708 Eagle Dr
Emmaus, PA 18049-1933

Mailing address

708 Eagle Dr
Emmaus, PA 18049-1933
Phone (484) 788-9674

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 031405 LPAMDOtolaryngology Physician

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1598099111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 EAGLE DR",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180491933",
            "telephone_number": "484-788-9674",
            "fax_number": "484-788-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 EAGLE DR",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180491933",
            "telephone_number": "484-788-9674",
            "fax_number": "484-788-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOLEHVAR",
        "first_name": "JAVAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-29",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD 031405 L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmaus, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.