Individual provider Active NPI

Bhavna Samveg Shah

  • Occupational Therapist
  • Old Bridge, NJ
National Provider Identifier
1881837938
Registry record updated Apr 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00132700 Issued in NJ
Practice address
6 Reagan St
Old Bridge, NJ 08857-3933
Phone
(732) 416-0599
NPI assigned
Apr 18, 2009
Last updated
Apr 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00132700 NJ Primary

Addresses

Primary practice location

6 Reagan St
Old Bridge, NJ 08857-3933

Mailing address

6 Reagan St
Old Bridge, NJ 08857-3933
Phone (732) 416-0599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151124001042 NJ Practitioner - Occupational Therapist in Private Practice 9335466168 Reassigns benefits to 1 organization
Practice locations: Perth Amboy, NJ; Matawan, NJ

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

272 A Hobart St
Perth Amboy, NJ 08861-4311
Phone (732) 801-6651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00132700NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Rehabilitation and Consulting Services ,LLC CurrentSince Oct 3, 2017 Accepting new patients

Locations

246 State Route 34
Matawan, NJ 07747
Phone (732) 801-6651

72 State Route 34
#B
Old Bridge, NJ 08857
Phone (732) 762-1930

272A Hobart St
Perth Amboy, NJ 08861
Phone (732) 376-9333

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1240012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240012800000",
    "number": "1881837938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 REAGAN ST",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573933",
            "telephone_number": "732-416-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 REAGAN ST",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573933",
            "telephone_number": "732-416-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "BHAVNA",
        "middle_name": "SAMVEG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-18",
        "last_updated": "2009-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00132700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.