DR. SAMIR ASHOK SHAH (NPI# 1235380817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235380817 |
| Entity Type | Individual |
| Full Name | DR. SAMIR ASHOK SHAH |
| Credential | DMD, MS |
| Practice Address |
3069 English Creek Ave Ste 101 Egg Harbor Township NJ 08234-9708 |
| Practice Telephone | 6096468443 |
| Practice Fax Number | 6096462758 |
| Mailing Telephone | 6096468443 |
| Mailing Fax Number | 6096462758 |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2014-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
22DI02384600 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720433451 | Samir Shah | General Practice | 3005 Jackson Ave, Point Pleasant, WV 25550-1717 | 2016-05-02 |
| 1760869747 | Samir Shah | Pharmacist | 2675 Kennedy Blvd, Apt K, Jersey City, NJ 07306-5847 | 2015-04-29 |
| 1992961494 | Samir Rajendra Shah | Plastic Surgery | 737 W Washington Blvd, Unit 3007, Chicago, IL 60661-2173 | 2008-08-04 |
| 1447434469 | Samir Suresh Shah | Internal Medicine | 3140 Princeton Pike Fl 2, Lawrenceville, NJ 08648-2330 | 2007-12-27 |
| 1710166699 | Samir K Shah | Pharmacist | 59 N Plank Rd, Suite 2, Newburgh, NY 12550-2126 | 2007-10-29 |
| 1881893741 | Samir Rameshchandra Shah | Surgery | 5803 Nw 151st St Ste 105, Miami Lakes, FL 33014-2473 | 2007-07-12 |
| 1457412611 | Samir B Shah | Dentist | 469 W Base Line Rd, Rialto, CA 92376-3379 | 2006-12-12 |
| 1437217841 | Samir S Shah | Internal Medicine | 220 W. Arbor Dr. Dept 8781, San Diego, CA 92103-8781 | 2006-12-05 |
| 1881787323 | Samir Hasmukh Shah | Psychiatry & Neurology | 7515 Greenville Ave Ste 400, Dallas, TX 75231-3860 | 2006-10-02 |
| 1548377104 | Samir C Shah | Internal Medicine | 700 Tyrone Blvd N, St Petersburg, FL 33710-7127 | 2006-08-23 |
| Street Address |
3069 ENGLISH CREEK AVE STE 101 |
| City | EGG HARBOR TOWNSHIP |
| State | NJ |
| Zip Code | 08234-9708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790730109 | Bayada Home Health Care, Inc. | Home Health | 3069 English Creek Ave, Providence Professional Park, Suite 221, Egg Harbor Township, NJ 08234-9708 | 2006-05-24 |
| 1104391341 | Jenna L Gazzola | Dentist | 3069 English Creek Ave, Egg Harbor Township, NJ 08234-9708 | 2018-10-03 |
| 1164832192 | Mindful Counseling Center LLC | Social Worker | 3069 English Creek Ave, Suite 224, Egg Harbor Township, NJ 08234-9708 | 2014-04-29 |
| 1215347455 | Daniel J Rontos | Physical Therapist | 3069 English Creek Ave, Egg Harbor Township, NJ 08234-9708 | 2014-04-28 |
| 1184939357 | Deborah M Rosenfeld | Podiatrist | 3069 English Creek Ave, Suite 201, Egg Harbor Township, NJ 08234-9708 | 2010-08-12 |
| 1235375528 | Foot and Ankle Center LLC | Clinic/Center | 3069 English Creek Ave, Suite 201, Egg Harbor Township, NJ 08234-9708 | 2008-12-17 |
| 1841448578 | Irina A. Tsyganova | Podiatrist | 3069 English Creek Ave, Office #201, Egg Harbor Township, NJ 08234-9708 | 2008-09-06 |
| 1134384597 | Jason Evan Lambert | Dentist | 3069 English Creek Ave, Suite 101, Egg Harbor Township, NJ 08234-9708 | 2008-07-25 |
| 1023273695 | Atlantic Smiles LLC | Clinic/Center | 3069 English Creek Ave, Suite #304, Egg Harbor Township, NJ 08234-9708 | 2008-07-23 |
| 1295996403 | Olympic Physical Therapy, LLC | Clinic/Center | 3069 English Creek Ave, Suite 301, Egg Harbor Township, NJ 08234-9708 | 2008-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073007928 | Black Horse Alr LLC | Clinic/Center | 6817 Black Horse Pike, Egg Harbor Township, NJ 08234 | 2018-06-14 |
| 1548762016 | Rebecca Flanigan | Dietitian, Registered | 2500 English Creek Ave. Building 800, Egg Harbor Township, NJ 08234 | 2018-03-01 |
| 1386164143 | Community Quest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Apartment 312 400 Manor Drive, Absecon, NJ 08234 | 2017-06-22 |
| 1639607740 | Swarnalata Debbarma | Psychiatry & Neurology | Atlanticare Behavioral Health, Inc, Egg Harbor Twp., NJ 08234 | 2017-06-02 |
| 1164956751 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Waverly Road, Cardiff, NJ 08234 | 2017-04-20 |
| 1417481003 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 409 Dogwood Lane, Egg Harbor Township, NJ 08234 | 2017-04-20 |
| 1073047668 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Stone Mill Court, Egg Harbor Township, NJ 08234 | 2017-04-20 |
| 1831623412 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Springfield Avenue, Mc Kee City, NJ 08234 | 2017-04-20 |
| 1821453234 | Community Quest | Respite Care | 6814 Tilton Road, Egg Harbor Township, NJ 08234 | 2015-12-30 |
| 1023481074 | Caringhouse Projects, Inc | Respite Care | 15 Erma Drive, Egg Harbor Township, NJ 08234 | 2015-11-12 |
| Find all providers in zip 08234 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104478189 | Meera Sahni | Dentist | 3069 English Creek Ave Ste 101, Egg Harbor Township, NJ 08234-9708 | 2019-07-10 |
| 1275743890 | Guy Henry | Dentist | 6105 W Jersey Ave, Suite #7, Egg Harbor Township, NJ 08234-5202 | 2007-05-23 |
| 1245308444 | South Jersey Periodontics PC | Dentist | 3069 English Creek Ave, Ste 101, Egg Harbor Township, NJ 08234-9708 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114559994 | Daniela Gurpegui Abud | Dentist | 100 Park Ave Apt Ph4j, Fort Lee, NJ 07024-3806 | 2020-02-10 |
| 1417502378 | Periodontal Consultants, Pa | Dentist | 1910 East Marlton Pike, The Atrium Suite #2, Cherry Hill, NJ 08003 | 2019-08-07 |
| 1245896364 | Edward Feins Dmd, Pa | Dentist | 241 Rivervale Road, River Vale, NJ 07675 | 2019-05-14 |
| 1437636917 | Noam L Saltzburg | Dentist | 738 Park Ave, Elizabeth, NJ 07208-1349 | 2018-07-26 |
| 1912406745 | Terri Anne Binder | Dentist | Eisai Inc, 155 Tice Blvd, Woodcliff Lake, NJ 07677-8406 | 2018-02-07 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1801326111 | Mina Ebrahimi Daryani | Dentist | 1307 White Horse Rd Ste B100, Voorhees, NJ 08043-2156 | 2017-06-19 |
| 1689129942 | Alejandro Castano | Dentist | 16 Pocono Rd Ste 213, Denville, NJ 07834 | 2016-08-16 |
| 1275932006 | Javier Sanz Moliner | Dentist | 103 Mansfield Rd E, Columbus, NJ 08022-2108 | 2014-08-18 |
| 1972910107 | Yoojun Park | Dentist | 401a South Van Brunt St Ste 205, Englewood, NJ 07631-4979 | 2014-07-21 |
| Find all providers with the same taxonomy | ||||
| City | EGG HARBOR TOWNSHIP |
| Zip Code | 08234 |
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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.