Specialist in Thoracic Surgery LLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

25MA04588100 Issued in NJ

Legal business name

SPECIALIST IN THORACIC SURGERY LLC

Practice address

96 Millburn Ave
Ste200A
Millburn, NJ 07041-1944

Phone

(973) 313-0011

Fax

(973) 763-1589

NPI assigned

Nov 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Shamji Shah, MDNPI 1588631626

Title

President

Phone

(973) 313-0011

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shamji K Shah, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Millburn, NJ
  • NPI 1588631626
  Authorized official Same address or phone

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1972804821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 MILLBURN AVE",
            "address_2": "STE200A",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411944",
            "telephone_number": "973-313-0011",
            "fax_number": "973-763-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 MILLBURN AVE",
            "address_2": "STE200A",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411944",
            "telephone_number": "973-313-0011",
            "fax_number": "973-763-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIST IN THORACIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHAMJI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-313-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NJ",
            "license": "25MA04588100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Dara Sotnick, M.S.W., L.C.S.W
• Laura C Sottile, D.C.
• Soul Sprout Family Acupuncture LLC
• South Mountain Imaging
• South Mountain Therapy LLC
• Specialty Infusion of NJ PC
• Sharon Spiteri, MD
• Susan Sprague-Lee, LCSW
• Ranjini Sridhar
• St. Michaels Medical Center

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.