PRANAV N SHAH (NPI# 1144215963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144215963 |
| Entity Type | Individual |
| Full Name | PRANAV N SHAH |
| Credential | MD |
| Practice Address |
6 Riverview Plz Red Bank NJ 07701-1863 |
| Practice Telephone | 7327471429 |
| Practice Fax Number | 7327474778 |
| Mailing Telephone | 7327471429 |
| Mailing Fax Number | 7327474778 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MA59610 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | HORIZON/MERCY | 1165209 | 01 |
| NJ | WELLCHOICE | 651U51 | 01 |
| NJ | AMERIGROUP | 94356 | 01 |
| NJ | GHI | 4099586 | 01 |
| NJ | CIGNA | 9012122-006 | 01 |
| NJ | AETNA POS | 0007710377 | 01 |
| NJ | AMERIHEALTH | 2121288000 | 01 |
| NJ | AETNA HMO | 3629272 | 01 |
| NJ | USA MANAGED CARE | 913160 | 01 |
| NJ | UNITED HEALTHCARE | 2011112 | 01 |
| NJ | AETNA HMO | 3000957 | 01 |
| NJ | 8642800 | 05 | |
| NJ | RR MEDICARE | P00053557 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437513744 | Pranav Shah | Internal Medicine | 3400 Spruce St, 5 Maloney, Philadelphia, PA 19104-4238 | 2016-04-12 |
| 1184851941 | Pranav R Shah | Anesthesiology | 1250 E Marshall St, Dept. of Anesthesiology, Richmond, VA 23298-5051 | 2009-06-18 |
| 1710145123 | Pranav Shah | Internal Medicine | 9981 S. Healthpark Drive, Suite 454, Fort Myers, FL 33908-3618 | 2008-06-02 |
| 1881765824 | Pranav V. Shah | Psychiatry & Neurology | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-13 |
| Street Address |
6 RIVERVIEW PLZ |
| City | RED BANK |
| State | NJ |
| Zip Code | 07701-1863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306831482 | Robert E Wold | Radiology | 6 Riverview Plz, Red Bank, NJ 07701-1863 | 2005-09-15 |
| 1326033143 | Jeffrey D Gould | Radiology | 6 Riverview Plz, Red Bank, NJ 07701-1863 | 2005-09-19 |
| 1043205081 | Frederick J Zito | Radiology | 6 Riverview Plz, Red Bank, NJ 07701-1863 | 2005-09-15 |
| 1730174772 | Douglas S Oconnor | Radiology | 6 Riverview Plz, Red Bank, NJ 07701-1863 | 2005-09-15 |
| 1871588822 | Albert A Tedeschi | Radiology | 6 Riverview Plz, Red Bank, NJ 07701-1863 | 2005-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447801659 | Kelsey M Simonson | Occupational Therapist | 15 Fowler Court, Red Bank, NJ 07701 | 2019-09-28 |
| 1225697816 | Professional Occupational & Physical Therapy, Pllc | Occupational Therapist | 39 East Front Street, Red Bank, NJ 07701 | 2019-06-07 |
| 1164992483 | Christine Elizabeth Fernandez | Social Worker | 1 Corbett Say, Eatontown, NJ 07701 | 2018-11-29 |
| 1346725330 | The Tms Center of New Jersey PC | Psychiatry & Neurology | 55 North Gilbert St, Suite 2203, Tinton Falls, NJ 07701 | 2018-09-26 |
| 1194205187 | Enlightening Counseling & Educational Services, LLC | Social Worker | 331 Newman Springs Rd. Bldg.1, 4th Floor, Suite 143, Red Bank, NJ 07701 | 2018-08-19 |
| 1013405794 | Susan Obrien | Registered Nurse | 270 New Jersey 35, Red Bank, NJ 07701 | 2018-04-27 |
| 1477055952 | Alexandra Gingerelli | Counselor | 48 Reckless Place, Red Bank, NJ 07701 | 2018-03-01 |
| 1841702529 | Felicia Dawn Stoler | Dietitian, Registered | 31 Leroy Place, Red Bank, NJ 07701 | 2017-11-02 |
| 1710408232 | Angela Marie Freedman | Physician Assistant | 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 | 2017-07-06 |
| 1891225769 | Asha One Pharmacy LLC | Pharmacy | 224 Shrewsbury Avenue, Red Bank, NJ 07701 | 2017-06-14 |
| Find all providers in zip 07701 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598794463 | Red Bank Radiologists, Pa | Radiology | 6 Riverview Plaza, Red Bank, NJ 07701-0476 | 2006-07-02 |
| 1306831482 | Robert E Wold | Radiology | 6 Riverview Plz, Red Bank, NJ 07701-1863 | 2005-09-15 |
| 1760767909 | Navesink Radiology LLC | Radiology | 1 Riverview Plz, Red Bank, NJ 07701-1864 | 2011-10-19 |
| 1598990236 | Leny Marlenis Rada-banat | Radiology | 1 Riverview Plz, Red Bank, NJ 07701-1864 | 2009-05-26 |
| 1316101439 | Dara Fedele | Radiology | 1 Riverview Plz, Red Bank, NJ 07701-1864 | 2008-07-17 |
| 1851496681 | William Ko | Radiology | 1 Riverview Plz, Red Bank, NJ 07701-1864 | 2006-09-14 |
| 1023049194 | Bokran Won | Radiology | 1 Riverview Plz, Red Bank, NJ 07701-1864 | 2006-07-06 |
| 1326033143 | Jeffrey D Gould | Radiology | 6 Riverview Plz, Red Bank, NJ 07701-1863 | 2005-09-19 |
| 1043205081 | Frederick J Zito | Radiology | 6 Riverview Plz, Red Bank, NJ 07701-1863 | 2005-09-15 |
| 1730174772 | Douglas S Oconnor | Radiology | 6 Riverview Plz, Red Bank, NJ 07701-1863 | 2005-09-15 |
| Find all providers in RED BANK | ||||
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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.