PRADIP S. SHAH, M.D. (NPI# 1558557124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558557124 |
| Entity Type | Organization |
| Organization Name | PRADIP S. SHAH, M.D. |
| Practice Address |
459 Passaic Ave Oak Health Center - Crane's Mill West Caldwell NJ 07006-7457 |
| Mailing Address |
57 Martin Rd Livingston NJ 07039-4631 |
| Practice Telephone | 9732763026 |
| Practice Fax Number | 9732767881 |
| Mailing Telephone | 9737160052 |
| Mailing Fax Number | 9737160052 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |
| Authorized Official Name | PRADIP S SHAH (CHAIRMAN/PRESIDENT) |
| Authorized Official Telephone | 9732763026 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MA062084 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
459 PASSAIC AVE OAK HEALTH CENTER - CRANE'S MILL |
| City | WEST CALDWELL |
| State | NJ |
| Zip Code | 07006-7457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376533554 | Lutheran Social Ministries At Crane's Mill, Inc. | Skilled Nursing Facility | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2005-10-27 |
| 1851938484 | Lissamma Francis | Nurse Practitioner | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2019-12-02 |
| 1568974970 | Barbara Ahern | Internal Medicine | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2017-10-26 |
| 1629588157 | Anitha Abraham | Nurse Practitioner | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2017-10-11 |
| 1023533510 | Siddhita Parekh | Nurse Practitioner | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2017-08-07 |
| 1952775025 | Marcela K Jimenez | Occupational Therapist | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2015-11-30 |
| 1811391170 | Jason Peter Cecilio | Physical Therapy Assistant | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2014-10-15 |
| 1043625643 | Rebecca Kojchev | Speech-Language Pathologist | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2014-06-23 |
| 1083027452 | Corey Condon | Occupational Therapist | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2014-06-03 |
| 1831512409 | Iris Gilen Maravilla Gomez | Nurse Practitioner | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2014-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063984979 | Ethan and The Bean A New Jersey Non Profit Corporation | Assistant Behavior Analyst | 31 Fairfield Avenue, West Caldwell, NJ 07006 | 2018-12-18 |
| 1083104228 | A Plus Rehab LLC | Physical Medicine & Rehabilitation | 9 Bloomfield Ave, North Caldwell, NJ 07006 | 2018-05-14 |
| 1326556564 | Salvatrice Rosalia Polizzotto | Social Worker | 249 Bloomfield Avenue, 2nd Floor, Caldwell, NJ 07006 | 2018-01-22 |
| 1750820452 | Caldwell University | Behavioral Analyst | 120 Bloombfield Avenue, Caldwell, NJ 07006 | 2017-02-15 |
| 1790151116 | Bankim Shah | Internal Medicine | 32 Wakefield Pl, Caldwell, NJ 07006 | 2015-08-19 |
| 1598157638 | Lisa Santeramo | Behavioral Analyst | 309 Westville Avenue, West Caldwell, NJ 07006 | 2015-02-26 |
| 1871832774 | Theodore K Chang | Dentist | 749 Bloomfield Ave Ste D, West Caldwell, NJ 07006 | 2013-02-12 |
| 1801132535 | Booyoung Chung | Pharmacist | 560 Passiac Ave Cvs, West Caldwell, NJ 07006 | 2012-12-28 |
| 1750611802 | Christopher Jones, Dds, P.a. | Dentist | 1129 Bloomfield Avenue, West Caldwell, NJ 07006 | 2010-01-12 |
| 1194976837 | Arthur Edward Halprin | Dentist | 277 Bloomfield Ave., Caldwell, NJ 07006 | 2008-09-30 |
| Find all providers in zip 07006 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326059320 | Pradip S Shah | Internal Medicine | 459 Passaic Ave, Crane's Mill - Oak Health Center, West Caldwell, NJ 07006-7457 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366983033 | Liberty Med Associates LLC | Internal Medicine | 999 Palmer Ave Ste 1, Holmdel, NJ 07733 | 2017-03-15 |
| 1013369461 | Pankaj Gupta | Internal Medicine | 31 Southfield Rd, Edison, NJ 08820-3141 | 2016-07-11 |
| 1780091736 | Sukhwinder K. Hundle M.d., P.a. | Internal Medicine | 721 N Beers St Ste 1a, Holmdel, NJ 07733-1500 | 2014-07-22 |
| 1649602897 | David M Lackner | Internal Medicine | 2107 Aqueduct Ln, Cherry Hill, NJ 08002-1932 | 2013-07-30 |
| 1841633369 | Zahava Nilly Brodt | Internal Medicine | 125 Paterson St Ste 2300, New Brunswick, NJ 08901-1962 | 2013-04-15 |
| 1871866632 | Anna H Zezon | Internal Medicine | 197 Cedar Ln Ste 2, Teaneck, NJ 07666-4300 | 2012-02-09 |
| 1760759740 | Ashvini Health Services | Internal Medicine | 2271 State Highway 33 Ste 110, Hamilton, NJ 08690-1749 | 2011-11-19 |
| 1518241934 | Hygiea Healthcare,llc | Internal Medicine | 100 Plainsboro Rd, Plainsboro, NJ 08536-1914 | 2011-10-04 |
| 1578857066 | Raymond Cogen | Internal Medicine | 72 Grange Ave, Fair Haven, NJ 07704-3004 | 2011-06-02 |
| 1871804534 | Medical and Geratric Associate PC | Internal Medicine | 2239 Center Ave, Fort Lee, NJ 07024-6123 | 2010-06-28 |
| Find all providers with the same taxonomy | ||||
| City | WEST CALDWELL |
| Zip Code | 07006 |
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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.