Active NPI
Vairagi Shah, DDS
- General Practice Dentistry
- Bronx, NY
National Provider Identifier
1851524516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 054623-1
- Practice address
- 747 Melrose Ave
Bronx, NY 10451-4651 - Phone
- (718) 585-5124
- NPI assigned
- Aug 28, 2009
- Last updated
- Feb 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 054623-1 | NY | Primary |
Addresses
Primary practice location
747 Melrose Ave
Bronx, NY 10451-4651
Mailing address
317 Shea Dr
New Milford, NJ 07646-1111
Phone (201) 265-7160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0226572 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054623-1 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360800000000",
"number": "1851524516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 SHEA DR",
"city": "NEW MILFORD",
"state": "NJ",
"postal_code": "076461111",
"telephone_number": "201-265-7160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 MELROSE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104514651",
"telephone_number": "718-585-5124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "VAIRAGI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-28",
"last_updated": "2013-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "054623-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0226572",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.