Srishti Shah, DO
Family Medicine in Clifton, New Jersey
1417363441- Practice location
- 1255 Broad St, Clifton, NJ 07013-3398
- Phone
- 973-685-5920
- Fax
- 201-604-7464
- Last updated
- October 24, 2022
Srishti Shah is a Family Medicine based in Clifton, NJ. Srishti Shah practices in Clifton, NJ and has the professional credentials of DO. The NPI Number for Srishti Shah is 1417363441 and holds a License No. 289873 (NY). The current practice location address for Srishti Shah is 1255 Broad St, Clifton, NJ 07013-3398 and can be reached out via phone at 973-685-5920 and via fax at 201-604-7464.
Provider Profile Details
- NPI Number
- 1417363441
- Provider Name
- Srishti Shah
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1255 Broad St, Clifton, NJ 07013-3398
- Phone Number
- 973-685-5920
- Fax Number
- 201-604-7464
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 10, 2014
- Last Update Date
- October 24, 2022
- Certification Date
- October 24, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1255 Broad St
Clifton, NJ 07013-3398 - City
- Clifton
- State
- New Jersey
- Zip
- 07013-3398
- Phone Number
- 973-685-5920
- Fax Number
- 201-604-7464
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 (1)
- 289873
- License State (1)
- NY
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 25MB10110200
- License State (2)
- NJ
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Clifton, NJ
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Frequently Asked Questions
What is the NPI number of Srishti Shah, DO?
The NPI number of Srishti Shah, DO is 1417363441. It was assigned on July 10, 2014 and is currently active in the NPPES registry.
What is the specialty of Srishti Shah, DO?
Srishti Shah, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NY under license number 289873.
Where does Srishti Shah, DO practice?
The practice location is 1255 Broad St, Clifton, NJ 07013-3398. The office can be reached at 973-685-5920 (phone) or 201-604-7464 (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 1417363441 directly on the NPPES registry website.