Individual provider Active NPI

Shail Ishan Shah

  • Physical Therapist
  • Elmhurst, NY
National Provider Identifier
1730547472
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01671100 Issued in NJ
Practice address
8635 Queens Blvd
Suite 1B
Elmhurst, NY 11373-4434
Phone
(718) 533-8588
NPI assigned
Feb 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 40QA01671100 NJ Primary

Addresses

Primary practice location

8635 Queens Blvd
Suite 1B
Elmhurst, NY 11373-4434

Mailing address

313 Naomi Way
Neshanic Station, NJ 08853
Phone (908) 962-4788

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170927000443 NJ Practitioner - Physical Therapist in Private Practice 1557635711 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridgeway Care at Home LLCGroup PAC ID 6406198373, 39 clinicians
Trinity Rehab Somerset PAGroup PAC ID 0547540809, 57 clinicians

Practice addresses (Care Compare)

Bridgewater, NJ 08807
Phone (908) 722-7022

1354 Centennial Ave
Unit A3 B
Piscataway, NJ 08854-4318
Phone (800) 518-0977

84 Veronica Ave
Suite And1016
Somerset, NJ 08873-3529
Phone (800) 518-0977

89 Route 206
Somerville, NJ 08876-4102
Phone (800) 518-0977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Rehab Somerset PA CurrentSince Jun 11, 2021 Accepting new patients
Health Plus Physical Therapy Center, PA Physical Therapist CurrentSince Jul 31, 2017 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Jun 11, 2021 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist Current Accepting new patients
Bridgeway Care at Home, LLC Physical Therapist CurrentSince Oct 7, 2024 Accepting new patients

Locations

270 State Route 28
Bridgewater, NJ 08807
Phone (908) 722-7022

2114 Oak Tree Rd
Edison, NJ 08820
Phone (732) 494-5999

110 Greenwood Ave
Montclair, NJ 07042
Phone (908) 764-3074

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

175 Route 37 W
#R
Toms River, NJ 08755

Organizations & group practices 5

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": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730547472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 NAOMI WAY",
            "city": "NESHANIC STATION",
            "state": "NJ",
            "postal_code": "08853",
            "telephone_number": "908-962-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 QUEENS BLVD",
            "address_2": "SUITE 1B",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734434",
            "telephone_number": "718-533-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHAIL",
        "middle_name": "ISHAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01671100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.