Deepak Shah, MD,PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

DEEPAK SHAH, MD,PA

Practice address

143 Palisade Ave
Jersey City, NJ 07306-1101

Phone

(201) 792-2727

Fax

(201) 653-3420

NPI assigned

Jun 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Deepak Ochavlal Shah, M.D.NPI 1831258607

Title

Officer

Phone

(201) 792-2727

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deepak O Shah, MD

  • Cardiovascular Disease Physician
  • Jersey City, NJ
  • NPI 1831258607
  Authorized official Same address or phone

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1609161058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 PALISADE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061101",
            "telephone_number": "201-792-2727",
            "fax_number": "201-653-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 PALISADE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061101",
            "telephone_number": "201-792-2727",
            "fax_number": "201-653-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPAK SHAH, MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_middle_name": "OCHAVLAL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "201-792-2727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0578703",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andy Debaun, LCSW
• Jillian Debenedetto, LCSW
• Dennis Anthony Debernardis, DO
• Christina Marie Dedeo, DO
• Cecille Natalie Lao Dee, PT
• Maria G. Defalco, MS, PT
• Elsy Dejesus, MS, CCC-SLP
• John Baptiste Del Monte, DPM
• Joy Del Orbe, LCSW
• Jazmin Maria Del Salto, MA, LPC

• Cardiovascular Disease Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.