Shreyas Shah, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

221102287503 Issued in NJ

Practice address

294 Woodbridge Center Drive
Woodbridge Center Dental PA
Woodbridge, NJ 07095

Phone

(732) 750-3080

Fax

(732) 750-3098

NPI assigned

Apr 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Woodbridge Centre Dental

  • General Practice Dentistry
  • Woodbridge, NJ
  • NPI 1992918288
  Authorized official Same address or phone

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659595031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 WOODBRIDGE CENTER DRIVE",
            "address_2": "WOODBRIDGE CENTER DENTAL PA",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "07095",
            "telephone_number": "732-750-3080",
            "fax_number": "732-750-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 WOODBRIDGE CENTER DRIVE",
            "address_2": "WOODBRIDGE CENTER DENTAL PA",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "07095",
            "telephone_number": "732-750-3080",
            "fax_number": "732-750-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHREYAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "221102287503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0090042",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alex Sekirin, MPT, ACSM-CEP
• Chantalle Marie Serafin, PHARM.D.
• Aastha Shah
• Archit Shah, OD
• Chhaya Bhadresh Shah
• Vandana A Shah, M.D.
• Chandramohan Sharma, OTRCHT
• Monica Sharoupim, PHARMD
• Matthew Shaw, MA CCC-SLP
• Anna Marie Sheldon, MASSAGE THERAPIST

• General Practice Dentistry in Woodbridge, NJ
• Providers in Woodbridge, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.