Organization Active NPI

Shivm Shah, PC

  • General Practice Dentistry
  • Union, NJ
National Provider Identifier
1992698641
Registry record updated Jun 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SHIVM SHAH, PC
Practice address
397 Chestnut St Ste 1
Union, NJ 07083-9419
Phone
(862) 347-3239
NPI assigned
Jun 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2025

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

Authorized official

Name
Shivm Shah, DDSNPI 1144809278
Title
Principal Dentist
Phone
(908) 451-8209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

397 Chestnut St Ste 1
Union, NJ 07083-9419

Mailing address

17 Bertran Dr
Bridgewater, NJ 08807-5609
Phone (908) 451-8209

Other identifiers 1

IdentifierTypeStateIssuer
1144809278OtherNPI

Other names 1

  • Emerald Dental Spa Doing business as

National Provider Directory

National Provider Directory

Locations

397 Chestnut St
Ste 1
Union, NJ 07083
Phone (201) 213-2331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749340800000",
    "number": "1992698641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BERTRAN DR",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088075609",
            "telephone_number": "908-451-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 CHESTNUT ST STE 1",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070839419",
            "telephone_number": "862-347-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVM SHAH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-08",
        "certification_date": "2025-06-08",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHIVM",
        "authorized_official_title_or_position": "PRINCIPAL DENTIST",
        "authorized_official_telephone_number": "908-451-8209",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144809278",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerald Dental Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2025; 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.