MR. HETAL S SHAH (NPI# 1497784094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497784094 |
| Entity Type | Individual |
| Full Name | MR. HETAL S SHAH |
| Credential | M.D. |
| Practice Address |
777 Route 70 East Sutie G-101 Marlton NJ 08053-2345 |
| Mailing Address |
777 Route 70 East Suite G-101 Marlton NJ 08053-2345 |
| Practice Telephone | 8569839939 |
| Practice Fax Number | 8569839936 |
| Mailing Telephone | 8569839939 |
| Mailing Fax Number | 8569839936 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2014-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MA07503100 | NJ | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MA075031 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AMERIGROUP | 240537 | 01 |
| NJ | AETNA | 7876554 | 01 |
| NJ | 0045047 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559182 | Hetal Shah | Pharmacist | 985 Pennsylvania Ave, Kansas City, MO 64105-1315 | 2020-05-13 |
| 1568788412 | Hetal N Shah | Pharmacist | 657 Heacock Rd, Yardley, PA 19067-6338 | 2010-04-18 |
| 1831378728 | Hetal Shah | Pharmacist | 37 Grand View Ter, Chester, NY 10918-8201 | 2007-10-29 |
| 1336168269 | Hetal A Shah | Physical Therapist | 5220 S 6th Street Rd, Suite 1500, Springfield, IL 62703-5735 | 2006-07-19 |
| 1750363255 | Hetal C Shah | Obstetrics & Gynecology | 4700 N 51st Ave Ste 5, Phoenix, AZ 85031-1237 | 2005-11-18 |
| 1043811300 | Hetal Shah | Pharmacist | 299 Valley Gate Dr, Warrington, PA 18976-2745 | 2020-11-03 |
| 1912453051 | Hetal Shah | Pharmacist | 21398 Price Cascades Plz, Sterling, VA 20164-6606 | 2016-08-29 |
| 1376954834 | Hetal Shah | Pharmacist | 715 E Bidwell St, Folsom, CA 95630-3341 | 2014-05-17 |
| 1497040398 | Hetal Shah | Internal Medicine | 2655 Crescent Dr, Suite D, Lafayette, CO 80026-3372 | 2011-06-20 |
| 1417187584 | Hetal Shah | Optometrist | 2189 75th St, Darien, IL 60561-4383 | 2009-07-22 |
| Street Address |
777 ROUTE 70 EAST SUTIE G-101 |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467571109 | Leslie R Pryor | Nurse Practitioner | 777 Route 70 East, Suite G-101, Marlton, NJ 08053-2345 | 2007-03-27 |
| 1639256696 | Jay D Patel | Family Medicine | 777 Route 70 East, Suite G-101, Marlton, NJ 08053-2345 | 2006-11-01 |
| 1578640538 | Elmwood Family Physicians | Family Medicine | 777 Route 70 East, Suite G-101, Marlton, NJ 08053-2345 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134610967 | Optimum Personal Care Physicians LLC | Family Medicine | 538 Lippincott Dr Bldg E, Marlton, NJ 08053 | 2018-05-29 |
| 1477098663 | Hydration Clinics of America | Family Medicine | 538 Lippincott Dr, Blg E, Marlton, NJ 08053-4806 | 2016-12-27 |
| 1699186114 | John Robert Styczynski | Family Medicine | 401 Route 73 North, 30 Lake Center, Ste 100, Marlton, NJ 08053 | 2014-05-19 |
| 1255626271 | James A Romano | Family Medicine | 5 Eves Dr Ste 300, Marlton, NJ 08053-3135 | 2011-06-17 |
| 1306141585 | Robin Cylinthia Mckinney | Family Medicine | 1001 Route 73 N, Marlton, NJ 08053-4524 | 2011-01-19 |
| 1689985806 | Deborah Anne Ubele | Family Medicine | 701 Route 73 N, Marlton, NJ 08053-3464 | 2010-06-23 |
| 1033309562 | Sham Rustom Bajina | Family Medicine | 765 Route 70 East, Cfg Health Systems LLC Bldg A Suite 101, Marlton, NJ 08053 | 2007-07-31 |
| 1326258732 | Nawid E. Najafi | Family Medicine | 601 Route 73 N, Suite 101, Marlton, NJ 08053-3470 | 2007-05-23 |
| 1376637553 | Andrew Paul Pecora | Family Medicine | 73 N Maple Ave Ste B, Marlton, NJ 08053-1782 | 2006-10-03 |
| 1598862419 | Wan Lo | Family Medicine | 525 Rt 73 South, Suite 301, Marlton, NJ 08053 | 2006-09-20 |
| Find all providers in MARLTON | ||||
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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.