Active NPIIndividual providerSole proprietor

Dr. Deepak O Shah, MD

Internal Medicine, Cardiovascular Disease in Jersey City, New Jersey

NPI Number1831258607
Practice location
142 Palisade Ave Ste 103, Jersey City, NJ 07306-1108
Fax
201-653-3420
Last updated
November 20, 2018

Deepak O Shah is an Internal Medicine, Cardiovascular Disease based in Jersey City, NJ. Deepak O Shah practices in Jersey City, NJ and has the professional credentials of MD. The NPI Number for Deepak O Shah is 1831258607 and holds a License No. ma36851 (NJ). The current practice location address for Deepak O Shah is 142 Palisade Ave Ste 103, Jersey City, NJ 07306-1108 and can be reached out via phone at 201-792-2727 and via fax at 201-653-3420.

Provider Profile Details

NPI Number
1831258607
Provider Name
Deepak O Shah
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
142 Palisade Ave Ste 103, Jersey City, NJ 07306-1108
Phone Number
201-792-2727
Fax Number
201-653-3420
Primary Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X
Sole Proprietor
Yes
Provider Enumeration Date
December 7, 2006
Last Update Date
November 20, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
142 Palisade Ave Ste 103
Jersey City, NJ 07306-1108
Zip
07306-1108
Phone Number
201-792-2727
Fax Number
201-653-3420
Jersey City, NJ 07306Get directions →

Provider Business Mailing Address Details

Address
Po Box 947
Clark, NJ 07066-0947
City
Clark
State
NJ
Zip
07066-0947
Phone Number
201-792-2727
Fax Number
201-653-3420

License Information

License Number
ma36851
License State
NJ
Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X · 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 Dr. Deepak O Shah, MD?

The NPI number of Dr. Deepak O Shah, MD is 1831258607. It was assigned on December 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Deepak O Shah, MD?

Dr. Deepak O Shah, MD is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in NJ under license number ma36851.

Where does Dr. Deepak O Shah, MD practice?

The practice location is 142 Palisade Ave Ste 103, Jersey City, NJ 07306-1108. The office can be reached at 201-792-2727 (phone) or 201-653-3420 (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 1831258607 directly on the NPPES registry website.

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