Individual provider Active NPI

Avani Shah, FNP

  • Family Nurse Practitioner
  • Plainsboro, NJ
National Provider Identifier
1992466114
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01249300 Issued in NJ
Practice address
666 Plainsboro Rd Ste D
Plainsboro, NJ 08536-3030
Phone
(609) 269-4451
NPI assigned
Jan 10, 2022
Last updated
Sep 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220625000442 NJ Practitioner - Nurse Practitioner 6002295714 Reassigns benefits to 2 organizations

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
RDP ConsultantsGroup PAC ID 8224372693, 3 clinicians

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

LicenseStateTypeSpecialty
26NJ01249300NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Neurology and Neuro-Oncology, PC CurrentSince May 1, 2022 Accepting new patients
RDP Consultants CurrentSince Sep 1, 2022 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.