KEKUL B SHAH (NPI# 1467493718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467493718 |
| Entity Type | Individual |
| Full Name | KEKUL B SHAH |
| Credential | M.D. |
| Practice Address |
4 Princess Rd Suite 101 Lawrenceville NJ 08648-2322 |
| Practice Telephone | 6098961414 |
| Practice Fax Number | 6098962982 |
| Mailing Telephone | 6098961414 |
| Mailing Fax Number | 6098962982 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2010-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 44604-02 | WI | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | MD 42421 | PA | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 25MA0778 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
4 PRINCESS RD SUITE 101 |
| City | LAWRENCEVILLE |
| State | NJ |
| Zip Code | 08648-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690956 | Darmakusuma Ie | Ophthalmology | 4 Princess Rd, Ste 101, Lawrenceville, NJ 08648-2322 | 2005-06-23 |
| 1730652298 | Susanne Giller | Occupational Therapist | 4 Princess Rd, Lawrenceville, NJ 08648-2322 | 2019-01-08 |
| 1265968499 | Lifeback | Community/Behavioral Health | 4 Princess Rd, Suite 206, Lawrenceville, NJ 08648-2322 | 2017-05-09 |
| 1770019168 | Stephen William Rynn | Social Worker | 4 Princess Rd, Suite 206, Lawrenceville, NJ 08648-2322 | 2017-05-04 |
| 1932576477 | Lifecare Physicians, P.C. | Nurse Practitioner | 4 Princess Rd, Suite 209, Lawrenceville, NJ 08648-2322 | 2015-09-01 |
| 1396112736 | Lifecare Physicians, P.C. | Obstetrics & Gynecology | 4 Princess Rd, Suite 209, Lawrenceville, NJ 08648-2322 | 2015-09-01 |
| 1790151025 | Lifecare Physicians, P.C. | Internal Medicine | 4 Princess Rd, Suite 209, Lawrenceville, NJ 08648-2322 | 2015-08-21 |
| 1285025452 | Bridgeway Rehabilitation Services | Case Management | 4 Princess Rd, Suite 205b, Lawrenceville, NJ 08648-2322 | 2015-02-10 |
| 1821405234 | Premier Sleep and Wellness | Internal Medicine | 4 Princess Rd, Suite 206, Lawrenceville, NJ 08648-2322 | 2014-07-17 |
| 1033526942 | Lifecare Health and Wellness | Counselor | 4 Princess Rd, Suite 206, Lawrenceville, NJ 08648-2322 | 2014-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763531 | Medlife Diagnostic Laboratories | Clinical Medical Laboratory | 1717 Brunswick Ave, Lawrence Twp, NJ 08648 | 2020-06-03 |
| 1770137226 | Andrew Corato | Specialist/Technologist | Rider Sports Medicine 2083 Lawrenceville Road, Lawrenceville, NJ 08648 | 2019-08-01 |
| 1457832149 | St. Mary's Assisted Living | Assisted Living Facility | One Bishops' Drive, Lawrenceville, NJ 08648 | 2018-08-22 |
| 1255832341 | Alma Garcia | Social Worker | 9 Gordon Avenue, Lawrenceville, NJ 08648 | 2018-02-23 |
| 1548760804 | Lawrence Spine & Wellness Pa | Chiropractor | 558 Lawrence Square Blvd South, Lawrenceville, NJ 08648 | 2018-02-13 |
| 1982134722 | Cindy Johnson | Counselor | 8433 Town Court North, Lawrenceville, NJ 08648 | 2017-06-14 |
| 1306372719 | Adapt Performance and Rehab | Clinic/Center | 1080 Spruce Street, Suite A, Lawrence Township, NJ 08648 | 2017-05-04 |
| 1780123588 | Feliks Shtindler Md PC | Internal Medicine | 3450 Princeton Pike, Suite 120, Lawrenceville, NJ 08648 | 2017-02-14 |
| 1295272995 | Favorite Dentist, LLC | Dentist | 3100 Princeton Pk., Bldg 2 1st Floor, Lawrenceville, NJ 08648 | 2017-01-20 |
| 1508241803 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 21302 Cedar Court, Lawrenceville, NJ 08648 | 2015-07-28 |
| Find all providers in zip 08648 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538412143 | Eye Care of Georgia | Ophthalmology | Eye Care of Georgia, 316 West Pike Street Ste 200, Lawrenceville, GA 30046 | 2012-10-19 |
| 1609005438 | Savian P. Nicholas | Ophthalmology | 20 Woodfield Ln, Lawrenceville, NJ 08648-1064 | 2009-07-14 |
| 1184804833 | Woolfson Eye Institute LLC | Ophthalmology | 1980 Riverside Pkwy, Suite 103, Lawrenceville, GA 30043-5943 | 2007-11-10 |
| 1417154956 | Eileen Wang | Ophthalmology | 601 Professional Dr Ste 300, Lawrenceville, GA 30046-7670 | 2007-06-28 |
| 1821168428 | Chittick Optical Inc | Ophthalmology | 1213 State Street, Lawrenceville, IL 62439-2332 | 2006-11-09 |
| 1205887239 | Mark G Haywood | Ophthalmology | 757 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2006-05-15 |
| 1881690956 | Darmakusuma Ie | Ophthalmology | 4 Princess Rd, Ste 101, Lawrenceville, NJ 08648-2322 | 2005-06-23 |
| 1225031453 | Steven Paul Ellis | Ophthalmology | 123 Franklin Corner Rd, Ste 207, Lawrenceville, NJ 08648-2526 | 2005-05-23 |
| 1457688343 | Frederic Mallen, M.d., P.C. | Ophthalmology | 3100 Princeton Pike, Lawrenceville, NJ 08648-2300 | 2009-11-12 |
| 1932334968 | Lorraine Stanley Simonds | Ophthalmology | 601 Professional Dr, Suite 300, Lawrenceville, GA 30046-7698 | 2009-05-19 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 08648 |
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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.