Active NPIIndividual provider

Omar Shah

Podiatrist, Foot & Ankle Surgery in Newark, New Jersey

NPI Number1134966351
Practice location
111 Central Ave, Newark, NJ 07102-1909
Fax
—
Last updated
July 15, 2024

Omar Shah is a Podiatrist, Foot & Ankle Surgery based in Newark, NJ. Omar Shah practices in Newark, NJ. The NPI Number for Omar Shah is 1134966351 and holds a License No. 1 (NJ). The current practice location address for Omar Shah is 111 Central Ave, Newark, NJ 07102-1909 and can be reached out via phone at 973-877-5000.

Provider Profile Details

NPI Number
1134966351
Provider Name
Omar Shah
Provider Entity Type
Individual
Gender
Male
Address
111 Central Ave, Newark, NJ 07102-1909
Phone Number
973-877-5000
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
No
Provider Enumeration Date
July 15, 2024
Last Update Date
July 15, 2024
Certification Date
July 14, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Central Ave
Newark, NJ 07102-1909
City
Newark
Zip
07102-1909
Phone Number
973-877-5000
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
306 Dr Martin Luther King Jr Blvd
Newark, NJ 07102-2011
City
Newark
State
NJ
Zip
07102-2011

License Information

License Number
1
License State
NJ
Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Omar Shah?

The NPI number of Omar Shah is 1134966351. It was assigned on July 15, 2024 and is currently active in the NPPES registry.

What is the specialty of Omar Shah?

Omar Shah is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 1.

Where does Omar Shah practice?

The practice location is 111 Central Ave, Newark, NJ 07102-1909. The office can be reached at 973-877-5000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134966351 directly on the NPPES registry website.

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