Individual provider Active NPI

Niranjana J Shah, M.D.

  • Family Medicine Physician
  • Bridgeton, NJ
National Provider Identifier
1750533733
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
038854 MA Issued in NJ
Practice address
215 S Burlington Rd
Bridgeton, NJ 08302-3479
Phone
(856) 459-7000
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 038854 MA NJ Primary

Addresses

Primary practice location

215 S Burlington Rd
Bridgeton, NJ 08302-3479

Mailing address

6 Cumberland Dr
Voorhees, NJ 08043-1652
Phone (856) 424-6353

Other names 1

  • Dr. Niranjana I Patel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
038854 MANJMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1750533733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CUMBERLAND DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431652",
            "telephone_number": "856-424-6353",
            "fax_number": "856-751-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S BURLINGTON RD",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023479",
            "telephone_number": "856-459-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIRANJANA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "038854 MA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIRANJANA",
            "last_name": "PATEL",
            "middle_name": "I",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bridgeton, NJ

Sources for this page

Verify at the official NPI Registry.