Individual provider Active NPI

Harshit H Shah, PT

  • Physical Therapist
  • Ridgefield, NJ
National Provider Identifier
1629587977
Registry record updated Sep 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01746800 Issued in NJ
Practice address
540 Bergen Blvd
Ridgefield, NJ 07657-2802
Phone
(201) 945-2320
NPI assigned
Sep 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01746800 NJ Primary

Addresses

Primary practice location

540 Bergen Blvd
Ridgefield, NJ 07657-2802

Mailing address

178 Taylor Ave Apt B
East Brunswick, NJ 08816-1460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171107002281 NJ Practitioner - Physical Therapist in Private Practice 2567728538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 Eagle Ave
Ocean, NJ 07712-7631
Phone 732660620011702

Merit-based Incentive Payment System (MIPS)

Final score
72.19 of 100Reported as group
Quality
42.79
Promoting interoperability
95
Improvement activities
40
Cost
68.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01746800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seaview Orthopaedics & Medical Associates LLP Physical Therapist CurrentSince Mar 4, 2019 Accepting new patients
Seaview Orthopaedics & Medical Associates LLP CurrentSince Mar 4, 2019 Accepting new patients

Locations

500 Barnegat Blvd N
Ste 200
Barnegat, NJ 08005
Phone (609) 488-3988

1640 Route 88 W
Brick, NJ 08724
Phone (732) 458-7866

1640 Route 88 W
Brick, NJ 08724
Phone (732) 458-7866

1200 Eagle Ave
Ocean, NJ 07712

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506556800000",
    "number": "1629587977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 TAYLOR AVE APT B",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 BERGEN BLVD",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076572802",
            "telephone_number": "201-945-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HARSHIT",
        "middle_name": "H",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01746800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.