Active NPI
Amisha Shah, MD
- Pediatrics Physician
- Hartford, CT
National Provider Identifier
1629394879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 052015
- Practice address
- 282 Washington St
Medical Education
Hartford, CT 06106-3322 - Phone
- (609) 658-6911
- NPI assigned
- Apr 13, 2010
- Last updated
- Mar 31, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 052015 | CT | Primary |
Addresses
Primary practice location
282 Washington St
Medical Education
Hartford, CT 06106-3322
Mailing address
282 Washington St
Medical Education
Hartford, CT 06106-3322
Phone (609) 658-6911
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
| License | State | Type | Specialty |
|---|---|---|---|
| 052015 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PNP Pediatrics, LLC | Pediatrics | 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.
-
dba Princeton Nassau Pediatrics
- Pediatrics Physician
- Princeton, NJ
- NPI 1417901521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396224000000",
"number": "1629394879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 WASHINGTON ST",
"address_2": "MEDICAL EDUCATION",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063322",
"telephone_number": "609-658-6911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 WASHINGTON ST",
"address_2": "MEDICAL EDUCATION",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063322",
"telephone_number": "609-658-6911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "AMISHA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-13",
"last_updated": "2014-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "052015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.