Active NPI
Jinal R Shah
- Physical Therapist
- Carteret, NJ
National Provider Identifier
1942612825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01392100
- Practice address
- 7-11 Byron St Apt 15
Carteret, NJ 07008-2342 - Phone
- (646) 249-6592
- NPI assigned
- May 27, 2014
- Last updated
- May 27, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01392100 | NJ | Primary |
| Physical Therapist | 225100000X | 032918 | NY |
Addresses
Primary practice location
7-11 Byron St Apt 15
Carteret, NJ 07008-2342
Mailing address
7-11 Byron St Apt 15
Carteret, NJ 07008-2342
Phone (646) 249-6592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032918 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Therapy Services | Physical Therapist | Current | Accepting new patients |
| Auroma Therapy Services,Inc | Physical Therapist | Current | Accepting new patients |
Locations
1030 Saint Georges Ave
Ste LL3
Avenel, NJ 07001
Phone (732) 404-1040
Organizations & group practices 2
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.
-
- Physical Therapist
- East Brunswick, NJ
- NPI 1720750029
-
- Physical Therapist
- Avenel, NJ
- NPI 1881845030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401148800000",
"number": "1942612825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7-11 BYRON ST APT 15",
"city": "CARTERET",
"state": "NJ",
"postal_code": "070082342",
"telephone_number": "646-249-6592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7-11 BYRON ST APT 15",
"city": "CARTERET",
"state": "NJ",
"postal_code": "070082342",
"telephone_number": "646-249-6592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "JINAL",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-27",
"last_updated": "2014-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01392100",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "032918",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carteret, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.