Individual provider Active NPI

Nayanesh K Shah, DDS

  • General Practice Dentistry
  • Parsippany, NJ
National Provider Identifier
1962411173
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
Practice address
1081 Parsippany Blvd
Suite 100
Parsippany, NJ 07054-1291
Phone
(973) 299-6161
Fax
(973) 299-1800
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16272NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nayanesh K. Shah, D.D.S., LLC General Practice Past Accepting new patients

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270339200000",
    "number": "1962411173",
    "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": {
        "last_name": "SHAH",
        "first_name": "NAYANESH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_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.