Active NPI
Avani Shah, FNP
- Family Nurse Practitioner
- Plainsboro, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ01249300
- Practice address
- 666 Plainsboro Rd Ste D
Plainsboro, NJ 08536-3030 - Phone
- (609) 269-4451
- NPI assigned
- Jan 10, 2022
- Last updated
- Sep 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ01249300 | NJ | Primary |
Addresses
Primary practice location
666 Plainsboro Rd Ste D
Plainsboro, NJ 08536-3030
Mailing address
666 Plainsboro Rd
Plainsboro, NJ 08536-3030
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: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
666 Plainsboro Rd
Suite 100D
Plainsboro, NJ 08536-3003
Phone (609) 269-4451
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01249300 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garden State Neurology and Neuro-Oncology, PC | Current | Accepting new patients | |
| RDP Consultants | Current | Accepting new patients |
Locations
666 Plainsboro Rd
Ste 100D
Plainsboro, NJ 08536
Phone (609) 269-4451
9 Hospital Dr
Ste A7
Toms River, NJ 08755
Phone (732) 341-0200
100 State Route 36
Ste 1A
West Long Branch, NJ 07764
Phone (732) 229-6200
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IJEBAA
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.
-
dba Regenerative Spine and Pain Institute
- Pain Medicine (Anesthesiology) Physician
- Plainsboro, NJ
- NPI 1932611878
-
- Neurology Physician
- West Long Branch, NJ
- NPI 1821017260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1992466114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "666 PLAINSBORO RD",
"city": "PLAINSBORO",
"state": "NJ",
"postal_code": "085363030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "666 PLAINSBORO RD STE D",
"city": "PLAINSBORO",
"state": "NJ",
"postal_code": "085363030",
"telephone_number": "609-269-4451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "AVANI",
"name_prefix": "Miss",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-10",
"last_updated": "2022-09-30",
"certification_date": "2022-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ01249300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainsboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.