Organization Active NPI

Nayanesh K. Shah, D.D.S., LLC

  • General Practice Dentistry
  • Parsippany, NJ
National Provider Identifier
1861608085
Registry record updated Apr 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16272 Issued in NJ
Legal business name
NAYANESH K. SHAH, D.D.S., LLC
Practice address
1081 Parsippany Blvd
Suite 100
Parsippany, NJ 07054-1291
Phone
(973) 299-6161
Fax
(973) 299-1800
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2010

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

Authorized official

Name
Dr. Nayanesh K Shah, D.D.S.NPI 1962411173
Title
Owner
Phone
(973) 299-6161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 16272 NJ Primary

Addresses

Primary practice location

1081 Parsippany Blvd
Suite 100
Parsippany, NJ 07054-1291

Mailing address

1081 Parsippany Blvd
Suite 100
Parsippany, NJ 07054-1291
Phone (973) 299-6161

Other identifiers 1

IdentifierTypeStateIssuer
1305506MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1081 Parsippany Blvd
Ste 100
Parsippany, NJ 07054
Phone (973) 299-6161

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270339200000",
    "number": "1861608085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 PARSIPPANY BLVD",
            "address_2": "SUITE 100",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541291",
            "telephone_number": "973-299-6161",
            "fax_number": "973-299-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 PARSIPPANY BLVD",
            "address_2": "SUITE 100",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541291",
            "telephone_number": "973-299-6161",
            "fax_number": "973-299-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAYANESH K. SHAH, D.D.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2010-04-04",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NAYANESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-299-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "16272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1305506",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.