Maheshkumar K. Shah, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

039105-1 Issued in NY

Practice address

1791 Lexington Ave
New York, NY 10029-2800

Phone

(212) 876-3458

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in NJ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Maheshkumar K. Shah

  • General Practice Dentistry
  • New York, NY
  • NPI 1992977011
  NPD (past) Authorized official
• Smile Dental Center of N.J., PA

  • General Practice Dentistry
  • North Bergen, NJ
  • NPI 1629290663
  NPD (past) Authorized official

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1710939434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 MILL RUN",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521755",
            "telephone_number": "201-445-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292800",
            "telephone_number": "212-876-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MAHESHKUMAR",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039105-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00876908",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Shah, LCSW
• Lesha Dilip Shah, M.D.
• Lisa Shah, DPM
• Lori Shah, MD
• Madhura P Shah, MD
• Maitrei Shah
• Mala Shah, MD
• Malisha Rajesh Shah, MD
• Mamta S. Shah, M.D.
• Manali Shah, MD

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.