DR. REZA ALI SHAH


Address: 2063 Klockner Rd, Hamilton, NJ 08690-3414
Phone: 6095869788

DR. REZA ALI SHAH (NPI# 1891740080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891740080
Entity Type Individual
Full Name DR. REZA ALI SHAH
Credential DO
Practice Address 2063 Klockner Rd
Hamilton
NJ 08690-3414
Mailing Address Po Box 3444
Mercerville
NJ 08619-0444
Practice Telephone 6095869788
Practice Fax Number 6095861232
Mailing Telephone 6095869788
Mailing Fax Number 6095861323
Enumeration Date 2006-05-24
Last Update Date 2008-06-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
25MB06764700 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ HORIZON NJ HEALTH 60032148 01
NJ 7947801 05
NJ OXFORD P1626337 01
NJ TAX ID 203985484 01
NJ HORIZON 2039854840 01
NJ AMERIHEALTH 2690963000 01
NJ CIGNA 7180223002 01
NJ AETNA 5727757 01
NJ UNITED HEALTHCARE 7279755 01
NJ HEALTHNET 3K2190 01

Office Location

Street Address 2063 KLOCKNER RD
City HAMILTON
State NJ
Zip Code 08690-3414

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811942337 Mercer Surgical Group PC Surgery 2063 Klockner Rd, Hamilton, NJ 08690-3414 2006-05-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457982936 Sarah Moore Registered Nurse Robert Wood Johnson Hospital, 1 Hamilton Health Place, Hamilton, NJ 08690 2020-02-03
1871136598 Ariel Alexis Nardini Counselor 2135 Nj-33, Trenton, NJ 08690 2019-10-25
1740748193 Pinnacle Treatment Centers Nj IIi LLC Clinic/Center 3444 Quakerbridge Road, Quakerbridge Plaza, Building 1a, Suite 100, Hamilton, NJ 08690 2019-03-05
1043736978 Sanna Quasmieh Occupational Therapist 2277 Route 33 Ste 411, Hamilton, NJ 08690 2017-08-22
1972054336 Joseph Cacciabaudo Specialist 864 Estates Blvd., Hamilton Square, NJ 08690 2016-10-20
1629432315 Liqin Zhang Nurse Practitioner 2065 Klockner Rd., Trenton, NJ 08690 2016-04-08
1780059527 Shalom Therapeutic Services LLC Clinic/Center 1374 White Horse Hamilton Square Rd, 301, Hamilton, NJ 08690 2015-12-04
1639554926 Eden Autism Services. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 433 Princeton Ave, Hamilton, NJ 08690 2015-07-28
1043692783 Hamilton Township Dental Associates LLC Dentist 1262 Whitehorse Hamilton Square Road, Hamilton Township, NJ 08690 2015-06-18
1255710182 Lauren Domanski Chiropractor 1670 Whitehorse Hamilton Sq. Rd., Hamilton, NJ 08690 2015-05-26
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730318981 Rwj Hamilton Diabetes & Endocrinology Group Pa Surgery 3525 Quakerbridge Rd Ste 2000, Hamilton, NJ 08619-1266 2009-07-09
1811942337 Mercer Surgical Group PC Surgery 2063 Klockner Rd, Hamilton, NJ 08690-3414 2006-05-23
1023253044 Marcus Daly Memorial Hospital Corporation Surgery 1150 Westwood Dr, Suite C, Hamilton, MT 59840-5318 2008-12-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801447784 Heritage Wound Care LLC Surgery 163 Madison Ave Ste 220, Morristown, NJ 07960-7325 2019-09-23
1063063188 Jvg Cardiovascular LLC Surgery 60 Baldwin Rd Ste 101b, Parsippany, NJ 07054-2901 2019-09-20
1558918359 Varicose Veins Doctor Pa Surgery 3478 Kennedy Blvd, Jersey City, NJ 07307-4117 2019-08-26
1437701729 Usa Vascular Center of New Jersey LLC Surgery 272 Main St Ste A, Orange, NJ 07050-3605 2019-07-16
1396301974 Vascular & Vein Center of New Jersey LLC Surgery 10 Industrial Way E Ste 103, Eatontown, NJ 07724-3332 2019-05-19
1568936326 Heritage Vascular PC Surgery 663 E Crescent Ave Ste 111, Ramsey, NJ 07446-1220 2019-01-15
1144761685 Center for Vascular Medicine Nj, LLC Surgery 415 Route 24 Ste 6/7, Chester, NJ 07930-2920 2017-03-16
1134665631 Robert S.walsky Md Surgery 22 Angela Ct, Woodcliff Lake, NJ 07677-8102 2017-01-09
1982074290 Frontier Medical Care Surgery 301 Tavistock, Cherry Hill, NJ 08034-4020 2015-09-29
1023486925 Associates In Vascular Care LLC Limb Salvage Center Surgery 1000 Route 35 South, Suite 300, Middletown, NJ 07748-2606 2015-09-09
Find all providers with the same taxonomy

Competitor

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City HAMILTON
Zip Code 08690

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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