Henna S. Shah, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00724700 Issued in NJ

Practice address

107 Monmouth Rd Ste 102
West Long Branch, NJ 07764-1021

Phone

(732) 641-3350

NPI assigned

Feb 20, 2017

Last updated

Jan 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Dimple N. Patel Former name

Medicare fee-for-service enrollment

Enrolled in NJ, MI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology and Cosmetic Center PLLCGroup PAC ID 0244600807, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: henna.shah@schweigerderm.emadirect.md
• FHIR API: https://app.meldrx.com/api/fhir/ez_00340

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.

• Dermatology & Cosmetic Center PLLC

  • Dermatology Physician
  • Flint, MI
  • NPI 1811605660
  Medicare reassignment Care Compare group NPD
• Schweiger Dermatology, PC

  • Dermatology Physician
  • Elmer, NJ
  • NPI 1104229392
  Medicare reassignment NPD
• Dermatology & Cosmetic Center of Bloomfield Hills PLLC

  • Dermatology Physician
  • Bloomfield Hills, MI
  • NPI 1073479945
  Medicare reassignment NPD

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1629517925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRIDGE AVE APT 201",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011537",
            "telephone_number": "248-925-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MONMOUTH RD STE 102",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641021",
            "telephone_number": "732-641-3350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Bunn Dr",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085402851",
            "country_code": "US",
            "telephone_number": "609-683-4999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HENNA",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00724700",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR18059800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIMPLE",
            "last_name": "PATEL",
            "middle_name": "N.",
            "prefix": "MRS.",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leah Schneider, BCBA
• Joshua Schwartz, LPC
• Seek & Find Professional Counseling Inc.
• Seek and Find Professional Counseling in NJ LLC
• Serenity Day Habilitation 2
• Jinal Shah
• David J Sharon, MD
• Shore Physicians for Alternative Medicine PC (physician services)
• Sierra Plastic Surgery LLP
• Silvercare Agency LLC

• Family Nurse Practitioner in West Long Branch, NJ
• Providers in West Long Branch, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.