MANISH SHAH (NPI# 1962792986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962792986 |
| Entity Type | Individual |
| Full Name | MANISH SHAH |
| Credential | MD |
| Practice Address |
15000 Midlantic Dr Ste 102 Mount Laurel NJ 08054-1573 |
| Practice Telephone | (856) 255-5479 |
| Mailing Telephone | (856) 255-5479 |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 25MA09730800 | NJ | Allopathic & Osteopathic Physicians |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
25MA09730800 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 University Dr, Department of Anesthesiology H187, Hershey, PA 170332360 | 7175315522 | 7175310826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669675658 | Manish Girish Shah | Radiology | 1231 Founders Lake Dr, Athens, GA 30606-7645 | 2007-06-07 |
| 1902826035 | Manish N Shah | Internal Medicine | 2038 Ashley Oaks Drive, Suite 102, Wesley Chapel, FL 33543-7013 | 2006-07-20 |
| 1558328625 | Manish Shah | Urology | 713 Goodyear Ave, Gadsden, AL 35903-1156 | 2006-05-01 |
| 1174910038 | Manish H Shah | Pharmacist | 1600 Crain Hwy S, Glen Burnie, MD 21061-5577 | 2015-04-18 |
| 1548557275 | Manish Mansukhlal Shah | Internal Medicine | 1501 N Campbell Ave, Division of Inpatient Medicine, Tucson, AZ 85724-5212 | 2011-07-01 |
| 1790086676 | Manish D Shah | Otolaryngology | 550 Peachtree St Ne, 9th Floor, Suite 4400, Atlanta, GA 30308-2208 | 2010-11-09 |
| 1669670071 | Manish A Shah | Internal Medicine | 254 Easton Ave, New Brunswick, NJ 08901 | 2007-07-06 |
| 1902001936 | Manish Shah | Obstetrics & Gynecology | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2007-06-19 |
| 1619186202 | Manish Dhiraj Shah | Internal Medicine | 301 Saint Paul Pl, 5th Floor, Baltimore, MD 21202-2102 | 2007-05-21 |
| 1255483657 | Manish Shah | Optometrist | 10 Gove St, East Boston, MA 02128-1920 | 2007-01-17 |
| Street Address |
15000 MIDLANTIC DR STE 102 |
| City | MOUNT LAUREL |
| State | NJ |
| Zip Code | 08054-1573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952483349 | Denise Scaringe-dietrich | Anesthesiology | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2006-10-19 |
| 1285275735 | Kristin Elizabeth Andrews | Nurse Anesthetist, Certified Registered | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2019-10-07 |
| 1457907354 | Roberta Catullo | Nurse Practitioner | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2019-08-15 |
| 1891347746 | Rachel Dubitsky | Nurse Anesthetist, Certified Registered | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2019-07-11 |
| 1669962304 | Pamela Rose Blatkiewicz | Registered Nurse | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2018-05-17 |
| 1275033003 | Lori Ann Huntsinger | Nurse Practitioner | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2018-02-19 |
| 1700300647 | Matthew Armand Bardales | Physician Assistant | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2017-08-02 |
| 1477937670 | Eastern States Pain Specialists Limited | Pain Medicine | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2015-07-17 |
| 1316216054 | Danielle Marie Butchko | Physician Assistant | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2011-12-27 |
| 1467740811 | Burhan Haleem | Pain Medicine | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2011-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837267 | Samantha Leafey | Behavior Technician | 800 Birchfield Dr., 801, Mount Laurel, NJ 08054 | 2019-12-04 |
| 1306403522 | A-1 Support Coordination Nj | Case Management | 1504 Larchmont Place, Mount Laurel, NJ 08054 | 2019-05-22 |
| 1285129080 | Lincoln Healthcare of New Jersey, LLC | Home Health | 309 Fellowship Rd Ste 100, Mount Laurel, NJ 08054 | 2018-06-25 |
| 1295238400 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 200 E Park Dr Ste 600a, Mount Laurel, NJ 08054 | 2018-03-14 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1700304706 | Arc of Camden County Essex Lane Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5320 Essex Lane, Mt. Laurel, NJ 08054 | 2017-08-30 |
| 1417472861 | Maggie Garin | Dietitian, Registered | 15000 Midlantic Avenue, Suite 101, Mount Laurel, NJ 08054 | 2017-08-07 |
| 1891225363 | New Jersey Lice Treatment LLC | Technician, Other | 500 Birchfield Dr, Suite 503-a, Mount Laurel, NJ 08054 | 2017-06-15 |
| 1225563927 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 761 Grant Ave, Mt Laurel, NJ 08054 | 2017-05-01 |
| Find all providers in zip 08054 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225409980 | Eastern States Pain Specialists, LLC | Pain Medicine | 15000 Midlantic Dr, Mount Laurel, NJ 08054-1573 | 2015-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508489162 | Fleischner Medical Services | Pain Medicine | 175 Cedar Ln Ste 5, Teaneck, NJ 07666-4315 | 2020-05-18 |
| 1710508304 | Advanced Spine and Pain LLC | Pain Medicine | 2186 Route 27 Ste 2d, North Brunswick, NJ 08902-1137 | 2020-05-05 |
| 1447885116 | Advanced Spine and Pain, LLC | Pain Medicine | 3100 Hingston Ave Ste 104, Egg Harbor Township, NJ 08234-4409 | 2020-03-03 |
| 1306322839 | Lc Medical Care LLC | Pain Medicine | 335 Chestnut St, Norwood, NJ 07648-0001 | 2018-07-18 |
| 1376090423 | Bloomfield Health Services, LLC | Pain Medicine | 322 Glenwood Avenue, Bloomfield, NJ 07003 | 2016-09-07 |
| 1740667856 | Naspac1 LLC | Pain Medicine | 2141 Brunswick Ave, Lawrenceville, NJ 08648-4407 | 2015-04-28 |
| 1679983829 | Neurological Diagnostic | Pain Medicine | 201 Chestnut St, Newark, NJ 07105-1771 | 2014-04-28 |
| 1841552270 | Nature Spine & Joint Care LLC | Pain Medicine | 65 Addison Pl Apt C, Clifton, NJ 07012-3399 | 2012-06-12 |
| 1134407455 | Aasje | Pain Medicine | 1 Orient Way, F165, Rutherford, NJ 07070-2524 | 2011-08-03 |
| 1104130673 | Pain Healing Center PC | Pain Medicine | 749 Irvington Avenue, Maplewood, NJ 07040 | 2010-07-27 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
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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.