Shrey Shah, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02960400 Issued in NJ

Practice address

3133 Central Ave Ste 204
Union City, NJ 07087-2447

Phone

(201) 330-3333

NPI assigned

Mar 7, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Castillo & Mulkay Dental, P.C.

  • General Practice Dentistry
  • Union City, NJ
  • NPI 1073631131
  NPD (past)
• Grace Dental Union City, LLC

  • Clinic/Center
  • Union City, NJ
  • NPI 1609389816
  NPD (past)
• J.M. Rashbaum D.M.D., P.C.

  • General Practice Dentistry
  • New York, NY
  • NPI 1558090555
  NPD (past)

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701561600000",
    "number": "1992452288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 DENISON ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047001",
            "telephone_number": "301-305-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 CENTRAL AVE STE 204",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872447",
            "telephone_number": "201-330-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4422 3rd Avenue",
            "address_2": "St. Barnabas Hospital Dept. of Dentistry",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10457",
            "country_code": "US",
            "telephone_number": "718-960-6498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "641 Main Ave",
            "address_purpose": "LOCATION",
            "city": "Passaic",
            "state": "NJ",
            "postal_code": "070554919",
            "country_code": "US",
            "telephone_number": "973-291-3640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1410 Broadway Rm 3004",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100185030",
            "country_code": "US",
            "telephone_number": "212-391-1385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHREY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-07",
        "last_updated": "2023-12-03",
        "certification_date": "2023-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02960400",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "063303-01",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02960401",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02960402",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ines P Serna, MS, CCCE,CD(DONA)
• Gretchen Sgagliardich, P.T.
• Shaan Smiles LLC
• Lori Shah, DDS
• Nilam Shah, OPTICIAN
• Rashi Sharma, MD
• Surendra M Sharma, M.D.
• Rachel Shepherd
• Shine Forward ABA LLC
• Shree Tara Diversified

• Dentist in Union City, NJ
• Providers in Union City, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2023; 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.