Sharad M Shah, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

036307 Issued in NY

Practice address

212 Route 9W
Suite # C
Haverstraw, NY 10927-1054

Phone

(845) 429-5162

Fax

(845) 429-5162

NPI assigned

Oct 12, 2006

Last updated

Mar 9, 2016By the provider in NPPES

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

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: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

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  • Piermont, NY
  • NPI 1720388440
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1861581258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 ROUTE 9W",
            "address_2": "SUITE # C",
            "city": "HAVERSTRAW",
            "state": "NY",
            "postal_code": "109271054",
            "telephone_number": "845-429-5162",
            "fax_number": "845-429-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 ROUTE 9W",
            "address_2": "SUITE # C",
            "city": "HAVERSTRAW",
            "state": "NY",
            "postal_code": "109271054",
            "telephone_number": "845-429-5162",
            "fax_number": "845-429-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHARAD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "036307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00747948",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hugo Sanon, LPN
• Aruna Sapra, DDS
• Sherry Saturno, LCSW
• Fred Schulmerich, BS PH-MBA-MPS
• Sheri Beth Serra
• Ronell Singh
• Lisa Spencer
• Kaylyn M Strysko, LBA
• Sun River Health Inc
• Minerva Swanston, RN

• General Practice Dentistry in Haverstraw, NY
• Providers in Haverstraw, 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 Mar 9, 2016; 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.