Individual provider Active NPI

Nidhi Shah, D.D.S

  • General Practice Dentistry
  • Little Falls, NJ
National Provider Identifier
1871946772
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02657700 Issued in NJ
Practice address
1 Cedar Grove Rd
Little Falls, NJ 07424-1701
Phone
(973) 256-3333
NPI assigned
Jul 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02657700 NJ Primary

Addresses

Primary practice location

1 Cedar Grove Rd
Little Falls, NJ 07424-1701

Mailing address

30 Milton Ave
Jersey City, NJ 07307-3652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161005000046 CT Order and Referring Only - DentistPractitioner - Dentist 3072801158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02657700NJMDGeneral Practice Dentistry
11669CTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Smile Family Dentistry PC CurrentSince Aug 6, 2023 Accepting new patients

Locations

1 Cedar Grove Rd
Little Falls, NJ 07424
Phone (973) 256-3333

Organizations & group practices 1

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": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1871946772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MILTON AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CEDAR GROVE RD",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241701",
            "telephone_number": "973-256-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIDHI",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02657700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NJ

Sources for this page

Verify at the official NPI Registry.