DR. ANISH JAYESH SHAH (NPI# 1790205201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790205201 |
| Entity Type | Individual |
| Full Name | DR. ANISH JAYESH SHAH |
| Credential | MD |
| Practice Address |
703 Main St # A1403 Paterson NJ 07503-2621 |
| Practice Telephone | (973) 754-2726 |
| Mailing Telephone | 9737542726 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164615589 | Anish Sunderrajan Shah | Psychiatry & Neurology | 480 Tesconi Cir Ste B, Santa Rosa, CA 95401-4691 | 2007-08-20 |
| 1437504131 | Anish Shah | Internal Medicine | 1364 Clifton Rd Ne, 404-727-5658, Atlanta, GA 30322-1059 | 2016-05-01 |
| 1770970600 | Anish A Shah | Surgery | 517 Moye Blvd, Greenville, NC 27834-2849 | 2015-04-17 |
| 1265845986 | Anish Nitish Shah | Family Medicine | 2401 W University Ave, Muncie, IN 47303-3428 | 2014-06-10 |
| 1629202957 | Anish Kaushik Shah | Urology | 2123 Auburn Ave, Cincinnati, OH 45219 | 2009-05-14 |
| 1447411608 | Anish M Shah | Internal Medicine | 2350 Freedom Way, Suite 200, York, PA 17402-8200 | 2008-06-20 |
| 1376718767 | Anish Anilkumar Shah | Obstetrics & Gynecology | 9030 Stony Point Pkwy Ste 450, Richmond, VA 23235-1941 | 2008-04-25 |
| 1699790436 | Anish P Shah | Internal Medicine | 14085 Crown Ct, Woodbridge, VA 22193-1458 | 2006-07-13 |
| 1528092657 | Anish U Shah | Ophthalmology | 79 Wawecus St, Suite 105, Norwich, CT 06360 | 2006-07-11 |
| 1265487375 | Anish P Shah | Internal Medicine | 7000 North Mopac, Suite 420, Austin, TX 78731 | 2006-05-24 |
| Street Address |
703 MAIN ST # A1403 |
| City | PATERSON |
| State | NJ |
| Zip Code | 07503-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447811922 | Hayley Elizabeth Talboy | Student in an Organized Health Care Education/Training Program | 703 Main St # A1403, Paterson, NJ 07503-2621 | 2019-06-25 |
| 1558856674 | Emmanuelle Bagdasarian | Student in an Organized Health Care Education/Training Program | 703 Main St # A1403, Paterson, NJ 07503 | 2018-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001426 | Kevin Vasquez | Student in an Organized Health Care Education/Training Program | St. Joseph's University Medical Hospital 703 Main St, Paterson, NJ 07503 | 2020-04-03 |
| 1689210346 | Denisa Stojakova | Internal Medicine | 37 Crooks Ave Ste 43, Paterson, NJ 07503 | 2019-11-18 |
| 1295206563 | Safa Travel LLC | Taxi | 205 Illinois Ave Fl 2, Paterson, NJ 07503 | 2018-12-16 |
| 1740780980 | Icp2 LLC | Pharmacy | 661main Street, Paterson, NJ 07503 | 2018-02-14 |
| 1194224329 | Reliable Laboratory | Clinical Medical Laboratory | 37 Crooks Avenue #43, Paterson, NJ 07503 | 2018-02-02 |
| 1487178703 | Field of Vision Services, LLC | Community/Behavioral Health | 235 Dakota St. Unit 1, Paterson, NJ 07503 | 2017-07-28 |
| 1982125043 | Saera Watanabe | Student in an Organized Health Care Education/Training Program | 703 Main Street, St. Joseph's Regional Medical Center, Department of Pediatrics, Paterson, NJ 07503 | 2017-06-29 |
| 1396266680 | Tulip Obgyn LLC | Obstetrics & Gynecology | 991 Main St Ste 2b, Paterson, NJ 07503 | 2017-06-28 |
| 1194251421 | Straight and Narrow, Inc | Substance Abuse Rehabilitation Facility | 410 Straight Street, Paterson, NJ 07503 | 2017-05-05 |
| 1083160956 | St. Josephs Regional Medical Center | Student in an Organized Health Care Education/Training Program | 400 Hospital Plaza, Paterson, NJ 07503 | 2016-08-30 |
| Find all providers in zip 07503 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001426 | Kevin Vasquez | Student in an Organized Health Care Education/Training Program | St. Joseph's University Medical Hospital 703 Main St, Paterson, NJ 07503 | 2020-04-03 |
| 1982125043 | Saera Watanabe | Student in an Organized Health Care Education/Training Program | 703 Main Street, St. Joseph's Regional Medical Center, Department of Pediatrics, Paterson, NJ 07503 | 2017-06-29 |
| 1083160956 | St. Josephs Regional Medical Center | Student in an Organized Health Care Education/Training Program | 400 Hospital Plaza, Paterson, NJ 07503 | 2016-08-30 |
| 1407237050 | Jonathan David Jimenez | Student in an Organized Health Care Education/Training Program | 78 E 16th St, Paterson, NJ 07524-1513 | 2015-06-09 |
| 1720327075 | John P Holland Charter School | Student in an Organized Health Care Education/Training Program | 190 Oliver St, Paterson, NJ 07501-1816 | 2013-02-06 |
| 1295001261 | Mohammed Motaharul Huq | Student in an Organized Health Care Education/Training Program | 367 Edmund Ave, 1st Fl, Paterson, NJ 07502-1313 | 2012-03-23 |
| 1073714424 | Kamal Hosni Al-rabi | Student in an Organized Health Care Education/Training Program | 100 Hospital Plz Apt 901, Paterson, NJ 07503-3053 | 2007-05-31 |
| 1083824999 | Sripriya Krishnamoorthy | Student in an Organized Health Care Education/Training Program | 200 Hospital Plz, #104, Paterson, NJ 07503-3072 | 2007-05-23 |
| 1518571868 | Prathyusha Chennupati | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-09-03 |
| 1720690688 | Sewar Hisham Abuarqob | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-20 |
| Find all providers in PATERSON | ||||
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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.