Bankim D. Shah M.D. PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BANKIM D. SHAH M.D. PA

Practice address

25 Mule Rd Unit B4
Toms River, NJ 08755-5037

Phone

(732) 341-0020

Fax

(732) 341-0072

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Bankim D Shah, MDNPI 1609899632

Title

President

Phone

(732) 341-0020

Specialties & licenses 1

Addresses

Other names 1

• Shore Preventative Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 7

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

• Bankim D Shah, MD

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1609899632
  Medicare reassignment Care Compare group NPD Authorized official
• Robert J Austin, LCSW

  • Clinical Social Worker
  • Lakewood, NJ
  • NPI 1770029464
  Medicare reassignment Care Compare group NPD
• Tadd Maffucci, LPC

  • Professional Counselor
  • Forked River, NJ
  • NPI 1700291044
  Medicare reassignment Care Compare group NPD
• Sweta Shah

  • Family Medicine Physician
  • Toms River, NJ
  • NPI 1003203118
  Medicare reassignment Care Compare group NPD
• Amy Valanzola, RDN

  • Registered Dietitian
  • Toms River, NJ
  • NPI 1033849583
  Medicare reassignment Care Compare group NPD
• Loriann Gibson, APN

  • Gerontology Nurse Practitioner
  • Manchester, NJ
  • NPI 1801462668
  Medicare reassignment NPD
• Vipul K Parikh, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Toms River, NJ
  • NPI 1518982958
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1992720809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MULE RD STE C7",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555061",
            "telephone_number": "732-341-0020",
            "fax_number": "732-341-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MULE RD UNIT B4",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555037",
            "telephone_number": "732-341-0020",
            "fax_number": "732-341-0072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Mule Rd Ste C7",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087555061",
            "country_code": "US",
            "telephone_number": "732-341-0020",
            "fax_number": "732-341-0072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BANKIM D. SHAH M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "BANKIM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-341-0020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shore Preventative Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Balzama, P.T.
• Krista Ann Balzofiore, MSN, RN, FNP-C
• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation
• Ma Luisa C. Bandales, P.T.
• Suvidha Bansal, PT
• Codi Banzaca, LPN
• Aileen Marie Barbarino, NURSE
• Tracie Yvette Barberi, DSW, L.C.S.W.
• Catherine Barillari, LSW

• Internal Medicine Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.