Ashish C Shah, MD | |
3086 State Route 27, Suite 10, Kendall Park, NJ 08824-1658 | |
(844) 543-5864 | |
(844) 314-1144 |
Full Name | Ashish C Shah |
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Gender | Male |
Speciality | Pediatrics - Pediatric Pulmonology |
Location | 3086 State Route 27, Kendall Park, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730328394 | NPI | - | NPPES |
0525278 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0214X | Pediatrics - Pediatric Pulmonology | 2008-01931 (North Carolina) | Secondary |
2080P0214X | Pediatrics - Pediatric Pulmonology | 25MA09774800 (New Jersey) | Primary |
Entity Name | Saint Peters University Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114924834 PECOS PAC ID: 9931012382 Enrollment ID: O20040112000043 |
Entity Name | Saint Peter's Healthcare System Physician Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548569361 PECOS PAC ID: 9537337258 Enrollment ID: O20110725000726 |
Mailing Address | Practice Location Address |
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Ashish C Shah, MD 3086 State Route 27, Suite 10, Kendall Park, NJ 08824-1658 Ph: (844) 543-5864 | Ashish C Shah, MD 3086 State Route 27, Suite 10, Kendall Park, NJ 08824-1658 Ph: (844) 543-5864 |
Dr. Lakshmi Kesarwala, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3084 State Route 27, Suite 6, Kendall Park, NJ 08824 Phone: 732-821-0595 | |
Dr. Bobak Bidabadi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3086 Route 27, Suite 8, Kendall Park, NJ 08824 Phone: 732-422-0393 | |
Dr. Nidagalle Gowda, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3186 Route 27, Beekman Road, Suite 101, Kendall Park, NJ 08824 Phone: 732-230-2529 Fax: 732-230-2529 |