Individual provider Active NPI

Tina V Shah, O.D.

  • Optometrist
  • Neptune, NJ
National Provider Identifier
1992930572
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00626600 Issued in NJ
Practice address
1809 Corlies Ave
Suite 1
Neptune, NJ 07753-4801
Phone
(732) 774-5566
NPI assigned
May 26, 2009
Last updated
Nov 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00626600 NJ Primary

Addresses

Primary practice location

1809 Corlies Ave
Suite 1
Neptune, NJ 07753-4801

Mailing address

1809 Corlies Ave
Suite 1
Neptune, NJ 07753-4801
Phone (732) 774-5566

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101129000717 NJ Practitioner - Optometry 0446446728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Del Negro and Senft Eye Associates, P.C.Group PAC ID 1658352448, 7 clinicians

Practice addresses (Care Compare)

100 Drum Point Rd
Brick, NJ 08723-6222
Phone (732) 774-5566

152 Broad St
Suite 2
Red Bank, NJ 07701-2047
Phone (732) 774-5566

1809 Colies Ave
Suite 1
Neptune, NJ 07753-4801

1809 Corlies Ave
Suite 1
Neptune, NJ 07753-4989
Phone (732) 774-5566

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00626600NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Del Negro & Senft Eye Associates, P.C. Optometrist CurrentSince Sep 1, 2010 Accepting new patients
Del Negro & Senft Eye Associates, P.C. Optometrist Past Accepting new patients

Locations

1809 Corlies Ave
Ste 1
Neptune, NJ 07753
Phone (732) 774-5566

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": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1992930572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 CORLIES AVE",
            "address_2": "SUITE 1",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534801",
            "telephone_number": "732-774-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 CORLIES AVE",
            "address_2": "SUITE 1",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534801",
            "telephone_number": "732-774-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "TINA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00626600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.