| Hemant Shah, M.d., P.c. | |
|
297 Central Ave Jersey City NJ 07307-2910 | |
| (201) 420-7373 | |
| (201) 795-0606 |
| Full Name | Hemant Shah, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 297 Central Ave, Jersey City, New Jersey |
| Authorized Official Name and Position | Hemant Shah (OWNER) |
| Authorized Official Contact | 2014207673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hemant Shah, M.d., P.c. 297 Central Ave Jersey City NJ 07307-2910 Ph: (201) 420-7373 | Hemant Shah, M.d., P.c. 297 Central Ave Jersey City NJ 07307-2910 Ph: (201) 420-7373 |
| NPI Number | 1255378790 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8224084397 |
|---|---|
| Medicare Enrollment ID | O20050323000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255378790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MA039176 (New Jersey) | Primary |
| 207R00000X | Internal Medicine | 25MA03322100 (New Jersey) | Primary |
| Provider Name | Jayeshkumar S Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962509265 PECOS PAC ID: 3072566710 Enrollment ID: I20050223000107 |
| Provider Name | Hemant Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104863208 PECOS PAC ID: 8921269663 Enrollment ID: I20120406000315 |
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