Individual provider Active NPI

Purvika Milan Sheth, OD

  • Optometrist
  • Little Falls, NJ
National Provider Identifier
1912196593
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00588000 Issued in NJ
Practice address
245 Paterson Ave
Little Falls, NJ 07424-4629
Phone
(973) 785-3277
NPI assigned
Oct 18, 2007
Last updated
Oct 18, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00588000 NJ Primary
Optometrist 152W00000X TUV0066731 NY
Optometrist 152W00000X OEG001464 PA

Addresses

Primary practice location

245 Paterson Ave
Little Falls, NJ 07424-4629

Mailing address

36 Arden Rd
Mountain Lakes, NJ 07046-1503
Phone (973) 588-4205

Other names 1

  • Dr. Purvika Jitendra Shah Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20170307000283 NJ Practitioner - Optometry 4284624875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

183 High St
Suite 2200
Newton, NJ 07860-9603
Phone (973) 383-6345

Merit-based Incentive Payment System (MIPS)

Final score
81.26 of 100Reported as group
Quality
100
Improvement activities
40
Cost
37.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV0066731NYMDOptometrist
OEG001464PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony J Boni OD and Alicia N Dorman OD/PA Optometrist CurrentSince Jan 1, 2017 Accepting new patients
Eye Physicians of Sussex County CurrentSince Oct 4, 2021 Accepting new patients
Eye Physicians of Sussex County CurrentSince Oct 4, 2021 Accepting new patients
State of New York Comptrollers Office Past Accepting new patients

Locations

16 Romaine Rd
Mountain Lks, NJ 07046
Phone (973) 335-2020

183 High St
Ste 2200
Newton, NJ 07860
Phone (201) 383-6345

183 High St
Newton, NJ 07860
Phone (973) 383-1280

245 Paterson Ave
West Paterson, NJ 07424
Phone (973) 256-3912

Interoperability endpoints

  • Direct secure messaging: purvika.shethod.p1@direct.epsc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1912196593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 ARDEN RD",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461503",
            "telephone_number": "973-588-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 PATERSON AVE",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074244629",
            "telephone_number": "973-785-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETH",
        "first_name": "PURVIKA",
        "middle_name": "MILAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00588000",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0066731",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001464",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PURVIKA",
            "last_name": "SHAH",
            "middle_name": "JITENDRA",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Falls, NJ

Sources for this page

Verify at the official NPI Registry.