Chetan Shah (NPI# 1750306734, PAC ID# 6901846252) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1750306734 |
| PAC ID by PECOS | 6901846252 |
| Professional Enrollment ID | I20050506000056 |
| Full Name | Chetan Shah |
| Organization Legal Name | PRINCETON EYE AND EAR LLC |
| Address |
2999 Princeton Pike Suite 2 Lawrenceville NJ 08648-3261 |
| Phone Number | 6094038843 |
| Gender | M |
| Credential | MD |
| Medical School | UMDNJ-ROBERT WOOD JOHNSON MEDICAL SCHOOL |
| Graduation Year | 1993 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 4587802996 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310110 | ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON |
| Address | Phone | Organization |
|---|---|---|
| 2999 Princeton Pike, Suite 2, Lawrenceville, NJ 08648-3261 | 6094038843 | PRINCETON EYE AND EAR LLC |
| Organization Legal Name | PRINCETON EYE AND EAR LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Dublin | Qualified Audiologist | Princeton Eye and Ear LLC | 2999 Princeton Pike, Suite 2, Lawrenceville, NJ 08648-3261 |
| Kelly-ann Kilcollins | Nurse Practitioner | Princeton Eye and Ear LLC | 2999 Princeton Pike, Suite 2, Lawrenceville, NJ 08648-3261 |
| Angela L Crast | Qualified Audiologist | Princeton Eye and Ear LLC | 2999 Princeton Pike, Suite 2, Lawrenceville, NJ 08648-3261 |
| Michael Paul Ondik | Otolaryngology | Princeton Eye and Ear LLC | 1050 Stony Hill Rd, Yardley, PA 19067-5500 |
| Florence Belhassen | Qualified Audiologist | Princeton Eye and Ear LLC | 901 W Main St, Bldg A, Freehold, NJ 07728-2537 |
| Michael Perl | Qualified Audiologist | Princeton Eye and Ear LLC | 2999 Princeton Pike, Suite 2, Lawrenceville, NJ 08648-3261 |
| Gregory Scott Smith | Otolaryngology | Princeton Eye and Ear LLC | 901 W Main St, Bldg A, Freehold, NJ 07728-2537 |
| Nishant Reddy | Otolaryngology | Princeton Eye and Ear LLC | 2999 Princeton Pike, Suite 2, Lawrenceville, NJ 08648-3261 |
| Samir S Undavia | Otolaryngology | Princeton Eye and Ear LLC | 5 Plainsboro Rd, Suite 510, Plainsboro, NJ 08536-1917 |
| Irene M Cohen | Qualified Audiologist | Princeton Eye and Ear LLC | 901 W Main St, Bldg A, Freehold, NJ 07728-2537 |
| Street Address |
2999 PRINCETON PIKE SUITE 2 |
| City | LAWRENCEVILLE |
| State | NJ |
| Zip | 08648-3261 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Dublin | Qualified Audiologist | Princeton Eye and Ear LLC | 2999 Princeton Pike, Suite 2, Lawrenceville, NJ 08648-3261 |
| Kelly-ann Kilcollins | Nurse Practitioner | Princeton Eye and Ear LLC | 2999 Princeton Pike, Suite 2, Lawrenceville, NJ 08648-3261 |
| Angela L Crast | Qualified Audiologist | Princeton Eye and Ear LLC | 2999 Princeton Pike, Suite 2, Lawrenceville, NJ 08648-3261 |
| Chirag Shah | Ophthalmology | Chirag S Shah Md LLC | 2999 Princeton Pike, Suite 1, Lawrenceville, NJ 08648-3261 |
| Vincent F Sardi | Ophthalmology | Total Eye Care Centers PC | 2999 Princeton Pike, Suite 1, Lawrenceville, NJ 08648-3261 |
| Michael Perl | Qualified Audiologist | Princeton Eye and Ear LLC | 2999 Princeton Pike, Suite 2, Lawrenceville, NJ 08648-3261 |
| Nishant Reddy | Otolaryngology | Princeton Eye and Ear LLC | 2999 Princeton Pike, Suite 2, Lawrenceville, NJ 08648-3261 |
| Paige Aufseeser | Audiologist | Princeton Eye and Ear LLC | 2999 Princeton Pike, Suite 2, Lawrenceville, NJ 08648-3261 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marie Weigel | Clinical Social Worker | 9 Gordon Ave, Lawrenceville, NJ 08648-1004 | |
| James A Dimattia | Chiropractic | 11 Gordon Ave, 1st Floor, Lawrenceville, NJ 08648-1004 | |
| Jennifer L Ditrapani | Clinical Social Worker | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | |
| Kristina Rago-solomita | Clinical Social Worker | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | |
| Kelly J Mcglynn | Clinical Social Worker | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | |
| Elizabeth Alberts | Clinical Social Worker | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | |
| Lizbeth A Smith | Nurse Practitioner | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | |
| Laura K Gever | Clinical Social Worker | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | |
| Sari E Harris | Clinical Social Worker | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | |
| Beth Smith | Clinical Social Worker | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | |
| Find all physicians in zip 08648 | |||
| City | LAWRENCEVILLE |
| Zip Code | 08648 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | LAWRENCEVILLE + OTOLARYNGOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.