Deepak O Shah (NPI# 1831258607, PAC ID# 8123058476) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1831258607 |
| PAC ID by PECOS | 8123058476 |
| Professional Enrollment ID | I20050816000809 |
| Full Name | Deepak O Shah |
| Address |
143 Palisade Ave Jersey City NJ 07306-1101 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1975 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310016 | CAREPOINT HEALTH-CHRIST HOSPITAL |
| 310074 | JERSEY CITY MEDICAL CENTER |
| 310025 | BAYONNE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 143 Palisade Ave, Jersey City, NJ 07306-1101 | ||
| 176 Palisade Ave, Jersey City, NJ 07306-1121 | 2017958200 | GARDEN STATE HEALTHCARE ASSOCIATES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
143 PALISADE AVE |
| City | JERSEY CITY |
| State | NJ |
| Zip | 07306-1101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanuj P Palvia | Anesthesiology | Roxbury Anesthesia, LLC | 550 Newark Ave, 5th Floor, Jersey City, NJ 07306-0550 |
| Amrish M Patel | Interventional Pain Management | Roxbury Anesthesia, LLC | 550 Newark Ave, 5th Floor, Jersey City, NJ 07306-0550 |
| Alec Fuhrman | Anesthesiology | Roxbury Anesthesia, LLC | 550 Newark Ave, 5th Floor, Jersey City, NJ 07306-0550 |
| Matthew Ronan | Anesthesiology | Roxbury Anesthesia, LLC | 550 Newark Ave, 5th Floor, Jersey City, NJ 07306-0550 |
| Leonard Dale Siochi | Physical Therapy | Palisade Physical Therapy and Rehabilitation | 131 Palisade Ave, Jersey City, NJ 07306-1101 |
| Maria V Amparo | Physical Therapy | Palisade Physical Therapy and Rehabilitation | 131 Palisade Ave, Jersey City, NJ 07306-1101 |
| Mei-ling Yee | Ophthalmology | Mei-ling Yee Md PC | 142 Palisades Ave, Suite 208, Jersey City, NJ 07306-1108 |
| Malgorzatam M Ciechanowska | Endocrinology | 142 Palisade Ave, Suite 220, Jersey City, NJ 07306-1108 | |
| Babak Behin | Otolaryngology | 142 Palisade Ave, Suite 207, Jersey City, NJ 07306-1108 | |
| Imran A Jamil | Psychiatry | 142 Palisade Ave, Suite 102, Jersey City, NJ 07306-1108 | |
| Find all physicians in zip 07306 | |||
| City | JERSEY CITY |
| Zip Code | 07306 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | JERSEY CITY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Deepak O Shah.
| 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.