Organization Active NPI

Shashi K Agarwal, MD PA

  • Cardiovascular Disease Physician
  • East Orange, NJ
National Provider Identifier
1639364359
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA 34347 Issued in NJ
Legal business name
SHASHI K AGARWAL, MD PA
Practice address
198 Central Ave
First Floor
East Orange, NJ 07018-3389
Phone
(973) 676-1234
Fax
(973) 676-0009
NPI assigned
Sep 6, 2007
Last updated
Sep 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Dr. Shashi K Agarwal, MDNPI 1558416099
Title
President
Phone
(973) 676-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X MA 34347 NJ Primary

Addresses

Primary practice location

198 Central Ave
First Floor
East Orange, NJ 07018-3389

Mailing address

198 Central Ave
First Floor
East Orange, NJ 07018-3389
Phone (973) 676-1234

National Provider Directory

National Provider Directory

Locations

198 Central Ave
Ste 1
East Orange, NJ 07018
Phone (973) 676-1234

1817 Oak Tree Rd
Fl First
Edison, NJ 08820
Phone (732) 494-7200

628 Broadway
Fl Second
Paterson, NJ 07514
Phone (973) 278-3500

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1639364359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 CENTRAL AVE",
            "address_2": "FIRST FLOOR",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070183389",
            "telephone_number": "973-676-1234",
            "fax_number": "973-676-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 CENTRAL AVE",
            "address_2": "FIRST FLOOR",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070183389",
            "telephone_number": "973-676-1234",
            "fax_number": "973-676-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASHI K AGARWAL, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "SHASHI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-676-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA 34347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.