DR. AMI SHAH (NPI# 1033511647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033511647 |
| Entity Type | Individual |
| Full Name | DR. AMI SHAH |
| Credential | PHARMD. |
| Practice Address |
1060 Broad St Newark NJ 07102-2397 |
| Mailing Address |
95 Falcon Rd Livingston NJ 07039-4427 |
| Practice Telephone | 9736423155 |
| Mailing Telephone | 9734931255 |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
28RIO3109800 | NJ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468242 | Ami V Shah | Psychologist | 418 E 71st St Fl Ph, New York, NY 10021-4892 | 2018-12-11 |
| 1518417674 | Ami Shah | Physical Therapist | 31 Magothy Beach Rd Ste 105, Pasadena, MD 21122-4423 | 2016-10-12 |
| 1053654822 | Ami J Shah | Pediatrics | 424 E 34th St Fl Street9, New York, NY 10016-4901 | 2013-03-31 |
| 1467763938 | Ami Shah | Physical Therapist | 827 Lincoln Blvd Apt I, Santa Monica, CA 90403-1584 | 2010-06-29 |
| 1841463502 | Ami F Shah | Physical Therapist | 679 Cornell Dr, Broadview Hts, OH 44147-4414 | 2008-04-02 |
| 1356530646 | Ami S Shah | Dentist | 2641 Hamner Avenue, Suite 101, Norco, CA 92860-3313 | 2007-10-23 |
| 1285823831 | Ami K Shah | Dentist | 5537 County Farm Rd, Hanover Park, IL 60133-5179 | 2007-10-19 |
| 1447441126 | Ami Shah | Ophthalmology | 38707 Stivers St Ste B, Fremont, CA 94536-5337 | 2007-08-07 |
| 1952440687 | Ami Arun Shah | Dentist | 968 Brook Forest Ave, Unit B1, Shorewood, IL 60431-8807 | 2007-02-06 |
| 1578651899 | Ami N. Shah | Surgery | 1653 W Congress Pkwy Fl 7, Chicago, IL 60612-3833 | 2006-10-11 |
| Street Address |
1060 BROAD ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-2397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356378434 | Rajan S Shah | Internal Medicine | 1060 Broad St, Newark, NJ 07102 | 2006-06-26 |
| 1275167967 | Pain Vein & Aesthetics Mgmt LLC | Chiropractor | 1060 Broad St, Newark, NJ 07102-2397 | 2020-03-03 |
| 1194235010 | Karla M Cayamcela | Physical Therapy Assistant | 1060 Broad St, Baesment, Newark, NJ 07018 | 2017-10-05 |
| 1285028217 | Orthosports Physical Therapy and Rehabilitation PC | Physical Therapist | 1060 Broad St, Grnd Floor, Newark, NJ 07102-2397 | 2015-03-27 |
| 1578810289 | Kimberly Physical Therapy & Rehabilitation | Clinic/Center | 1060 Broad St, Newark, NJ 07102-2397 | 2012-08-13 |
| 1518268499 | Advanced Foot & Ankle Center Inc. | Podiatrist | 1060 Broad St, Newark, NJ 07102-2397 | 2010-11-09 |
| 1265627376 | Rajan Shah Md Pa | Internal Medicine | 1060 Broad St, Newark, NJ 07102-2397 | 2007-09-11 |
| 1740475854 | Essex Plaza Medical Associates Pa | Internal Medicine | 1060 Broad St, Newark, NJ 07102-2397 | 2007-09-11 |
| 1336354919 | Happy Days II Adult Heathcare | Clinic/Center | 1060 Broad St, Newark, NJ 07102-2397 | 2007-05-14 |
| 1053480475 | Vikas S. Bawa | Podiatrist | 1060 Broad St, Lower Level Medical Office, Newark, NJ 07102-2397 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609330885 | David Verdine | Pharmacist | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2019-01-22 |
| 1649614579 | David Dinh | Pharmacist | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2013-04-22 |
| 1063791093 | Megan Bayliff Farraj | Pharmacist | Christiana Care Health Services, 4755 Ogletown-stanton Road, Newark, DE 19718-0001 | 2011-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958856 | Pavan K Parimi | Pharmacist | 40 Spruce Meadows Dr, Monroe Township, NJ 08831-3103 | 2020-06-30 |
| 1841814837 | Jibi Philip | Pharmacist | 186 Larch Ave, Dumont, NJ 07628-1327 | 2020-06-04 |
| 1154804185 | Christopher Manuel Bregna | Pharmacist | 60 Fairview Dr, East Hanover, NJ 07936-3508 | 2018-09-14 |
| 1104308121 | Mahwish Zafar | Pharmacist | 1726 Route 37 E, Toms River, NJ 08753-8237 | 2018-09-06 |
| 1386126118 | Panagiota Kousoulis | Pharmacist | 41 Spring St, New Providence, NJ 07974-1143 | 2018-08-29 |
| 1619470606 | Dina Minisi | Pharmacist | 57 Harrowgate Dr, Cherry Hill, NJ 08003-1938 | 2018-03-15 |
| 1720509888 | Sandra Sparta | Pharmacist | 66 Claire Dr, Bridgewater, NJ 08807-1854 | 2017-06-29 |
| 1205377272 | Glatz Rx Consultants LLC | Pharmacist | 54 Broken Arrow Road, Medford, NJ 08055 | 2017-03-10 |
| 1255871745 | Charles W Glatz | Pharmacist | 54 Broken Arrow Bend, Medford, NJ 08055 | 2017-03-02 |
| 1669917613 | Legendary Care Consulting | Pharmacist | 19 Amelia St, North Caldwell, NJ 07006-4155 | 2016-12-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.