Payal Shah, | |
445 Godwin Ave, Midland Park, NJ 07432-1507 | |
(201) 444-4991 | |
Not Available |
Full Name | Payal Shah |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 445 Godwin Ave, Midland 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 |
---|---|---|---|
1861564171 | NPI | - | NPPES |
40QA00871600 | Other | NJ | LICENSE# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | West Coast Therapy Specialist Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1578810776 PECOS PAC ID: 0648549618 Enrollment ID: O20170706002356 |
Provider Name | New Horizon Pediatric Services Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992256481 PECOS PAC ID: 0244579738 Enrollment ID: O20190227002523 |
Mailing Address | Practice Location Address |
---|---|
Payal Shah, 18 Iron Forge Sq, Pompton Lakes, NJ 07442-1737 Ph: (973) 839-2132 | Payal Shah, 445 Godwin Ave, Midland Park, NJ 07432-1507 Ph: (201) 444-4991 |
Jaclyn Anne Gonzalez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 85 Godwin Ave, Midland Park, NJ 07432 Phone: 201-639-8870 Fax: 201-639-8874 | |
Cristina K Salazar, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 33 Central Ave, Midland Park, NJ 07432 Phone: 201-689-0800 Fax: 201-689-0871 | |
Timothy J Roy, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 85 Godwin Ave, Midland Park, NJ 07432 Phone: 201-639-8870 Fax: 201-639-8874 | |
Denise Inirio, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31 Highland Ave, Midland Park, NJ 07432 Phone: 201-445-3880 | |
Mrs. Pamela Holly Pollack, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 85 Godwin Ave, Midland Park, NJ 07432 Phone: 201-639-8870 | |
Kelly A Fleming, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 445 Godwin Ave, Midland Park, NJ 07432 Phone: 201-444-4991 | |
Lucas Mazurek, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 85 Godwin Ave, Midland Park, NJ 07432 Phone: 201-639-8870 Fax: 201-639-8874 |