Individual provider Active NPI

Rushabh Shah, D.M.D

  • General Practice Dentistry
  • Hamilton, NJ
National Provider Identifier
1730209826
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02164702 Issued in NJ
Practice address
2277 Route 33 Ste 412
Hamilton, NJ 08690-1700
Phone
(609) 585-1410
NPI assigned
Mar 30, 2007
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02164702 NJ Primary

Addresses

Primary practice location

2277 Route 33 Ste 412
Hamilton, NJ 08690-1700

Mailing address

22 Highpoint PL
West Windsor, NJ 08550-5239
Phone (732) 355-1980

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150507001038 NJ Order and Referring Only - DentistPractitioner - Dentist 2365670015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02164702NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
R S Family Dental Inc General Practice CurrentSince Sep 3, 2013 Accepting new patients

Locations

1760 Kuser Rd
Hamilton, NJ 08690
Phone (609) 585-1410

2277 Route 33
Ste 412
Trenton, NJ 08690
Phone (609) 585-1410

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1730209826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HIGHPOINT PL",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085505239",
            "telephone_number": "732-355-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 ROUTE 33 STE 412",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086901700",
            "telephone_number": "609-585-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RUSHABH",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02164702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.