Active NPIIndividual provider

Renu Shah, OD

Optometrist in New Providence, New Jersey

NPI Number1235494485
Practice location
890 Mountain Ave, New Providence, NJ 07974-1218
Fax
908-277-8694
Last updated
June 21, 2024

Renu Shah is an Optometrist based in New Providence, NJ. Renu Shah practices in New Providence, NJ and has the professional credentials of OD. The NPI Number for Renu Shah is 1235494485 and holds a License No. 27OA00640800 (NJ). The current practice location address for Renu Shah is 890 Mountain Ave, New Providence, NJ 07974-1218 and can be reached out via phone at 908-277-8682 and via fax at 908-277-8694.

Provider Profile Details

NPI Number
1235494485
Provider Name
Renu Shah
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
890 Mountain Ave, New Providence, NJ 07974-1218
Phone Number
908-277-8682
Fax Number
908-277-8694
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
July 12, 2012
Last Update Date
June 21, 2024
Certification Date
June 21, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
890 Mountain Ave
New Providence, NJ 07974-1218
Zip
07974-1218
Phone Number
908-277-8682
Fax Number
908-277-8694
New Providence, NJ 07974Get directions →

Provider Business Mailing Address Details

Address
1 Diamond Hill RD
Berkeley Heights, NJ 07922-2104
City
Berkeley Heights
State
NJ
Zip
07922-2104
Phone Number
908-273-4300

License Information

License Number
27OA00640800
License State
NJ
Taxonomy
Optometrist · 152W00000X · 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 Renu Shah, OD?

The NPI number of Renu Shah, OD is 1235494485. It was assigned on July 12, 2012 and is currently active in the NPPES registry.

What is the specialty of Renu Shah, OD?

Renu Shah, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00640800.

Where does Renu Shah, OD practice?

The practice location is 890 Mountain Ave, New Providence, NJ 07974-1218. The office can be reached at 908-277-8682 (phone) or 908-277-8694 (fax).

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 1235494485 directly on the NPPES registry website.

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