MR. KETAN H SHAH (NPI# 1407137102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407137102 |
| Entity Type | Individual |
| Full Name | MR. KETAN H SHAH |
| Credential | BS RPH |
| Practice Address |
153 Wood Ave Edison NJ 08820-3504 |
| Practice Telephone | 7323183046 |
| Practice Fax Number | 7323795760 |
| Mailing Telephone | 7323183046 |
| Mailing Fax Number | 7323795760 |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PS27026 | FL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 28RI02170800 | NJ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689959900 | Ketan Mahendra Shah | Nurse Practitioner | 422 N Prospect St, Wheaton, IL 60187-5839 | 2011-10-18 |
| 1841306693 | Ketan Shah | Otolaryngology | 1000 Eleven S, Ste 4f, Columbia, IL 62236-1080 | 2006-08-22 |
| 1609822360 | Ketan D. Shah | Podiatrist | 9234 Kennedy Blvd, North Bergen, NJ 07047-5312 | 2006-05-25 |
| 1144575788 | Ketan Yogesh Shah | Internal Medicine | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2012-07-19 |
| 1922390210 | Ketan R Shah | Nurse Anesthetist, Certified Registered | 3200 Tyre Neck Rd, Suite 101, Portsmouth, VA 23703-3329 | 2011-05-05 |
| 1790001535 | Ketan Vikrambhai Shah | Internal Medicine | 300 Highland Ave, Hanover, PA 17331-2297 | 2010-04-19 |
| 1629244652 | Ketan K Shah | Internal Medicine | 24221 Calle De La Louisa, Suite 300, Laguna Hills, CA 92653-7638 | 2008-04-30 |
| 1871507053 | Ketan Shah | Internal Medicine | 5500 Armstrong Rd, Battle Creek, MI 49015-1014 | 2006-07-27 |
| 1528098134 | Ketan Shah | Internal Medicine | 2211 E Franklin Blvd, Ste 100, Gastonia, NC 28054-4985 | 2006-07-03 |
| 1083664023 | Ketan S. Shah | Internal Medicine | 3120 Governors Place Blvd, Dayton, OH 45409-1328 | 2006-05-11 |
| Street Address |
153 WOOD AVE |
| City | EDISON |
| State | NJ |
| Zip Code | 08820-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972904217 | Purnima Verma | Pharmacist | 153 Wood Ave, Edison, NJ 08820-3504 | 2014-09-05 |
| 1134401334 | Yun Hye Cho | Pharmacist | 153 Wood Ave, Edison, NJ 08820-3504 | 2011-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457964702 | Time Line Diagnostic LLC | Spec/Tech, Cardiovascular | 25 Cinder Road Apt 3j, Edison, NJ 08820 | 2020-08-26 |
| 1376185504 | Jason Chester | Physical Therapist | 72 Nj-27, Edison, NJ 08820 | 2019-10-09 |
| 1497237838 | Pooja Kansagra | Behavior Technician | 3826 Park Ave Suite 102, Edison, NJ 08820 | 2018-09-01 |
| 1568941086 | Thomas Dipaolo LLC | Physical Therapist | 3840 Park Ave # D108, Edison, NJ 08820 | 2018-08-07 |
| 1467939561 | Aisha Musa Abdulkadir | Student in an Organized Health Care Education/Training Program | Jfk Family Practice, 65 James Street, Edison, NJ 08820 | 2018-07-23 |
| 1801380522 | Edison Spine and Pain Management, P.C. | Physical Medicine & Rehabilitation | 1692 Oak Tree Road, Edison, NJ 08820 | 2018-06-16 |
| 1386136521 | Chirag A Gandhi | Physical Therapist | 3830 Park Ave Ste 202, Edison, NJ 08820 | 2018-06-04 |
| 1770097446 | Arthur Royzner | Dentist | 1 Lincoln Hwy Ste 6, Edison, NJ 08820 | 2017-11-16 |
| 1356850671 | Nj Allergy & Asthma Care LLC | Clinic/Center | 26 Parker Rd, Edison, NJ 08820 | 2017-09-29 |
| 1790226223 | Julianna Marie Zilli | Specialist/Technologist | 24 Woodrow Wilson Dr, Edison, NJ 08820 | 2017-03-16 |
| Find all providers in zip 08820 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861214 | Monalben Shah | Pharmacist | 11 Pine Ridge Dr, Edison, NJ 08820-2827 | 2020-11-08 |
| 1083228894 | Ritu A Patel | Pharmacist | 13 Henry St, Edison, NJ 08820-2817 | 2020-08-31 |
| 1447862750 | Ling Zhu | Pharmacist | 2124 A State Route 27, Edison, NJ 08817 | 2020-08-18 |
| 1629691589 | Shameem Kamra | Pharmacist | 49 Guisborough Way, Edison, NJ 08820-4629 | 2020-05-26 |
| 1821647603 | Manan Nileshkumar Shah | Pharmacist | 170 White Birch Rd, Edison, NJ 08837-2041 | 2019-09-05 |
| 1154898153 | Sudip Vinodbhai Darji | Pharmacist | 1 Dayton Dr Apt 12d, Edison, NJ 08820-3412 | 2018-10-28 |
| 1023526316 | Rajkumar Aerroju | Pharmacist | 289 Parsonage Rd, Edison, NJ 08837-2106 | 2018-01-20 |
| 1386155836 | Nishit H Shah | Pharmacist | 1700 Oak Tree Rd Ste 1, Edison, NJ 08820-2854 | 2017-10-23 |
| 1770009094 | Donna Susan Wink | Pharmacist | 3 Nightingale St, Edison, NJ 08820-2751 | 2017-08-17 |
| 1417496860 | Ningrong Zhang | Pharmacist | 1653 Lincoln Hwy Unit 2, Edison, NJ 08817-3484 | 2017-02-17 |
| Find all providers in EDISON | ||||
Please comment or provide details below to improve the information on MR. KETAN H SHAH.
| 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.