DEEPAK SHAH MDPA NPI 1609161058

NPI Information

NPI: 1609161058
Provider Name: DEEPAK SHAH, MD,PA
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
143 PALISADE AVE
JERSEY CITY, NJ
ZIP 07306
Phone: (201) 792-2727
Get Directions

DEEPAK SHAH, MD,PA is a cardiovascular disease internal medicine in Jersey City, NJ. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DEEPAK SHAH, MD,PA NPI is 1609161058. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

143 PALISADE AVE
JERSEY CITY, NJ
ZIP 07306-101
Phone: (201) 792-2727
Fax: (201) 653-3420

The provider's authorized official is Deepak Ochavlal Shah .
The authorized official title is Officer and has the following contact phone number (201) 792-2727.

The enumeration date for this NPI number is 6/14/2011 and was last updated on 6/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	178125	MEDICARE PIN	NEW JERSEY
2	0578703	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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