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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
25MB06764700 | NJ | Allopathic & Osteopathic Physicians |
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 |
Street Address |
2063 KLOCKNER RD |
City | HAMILTON |
State | NJ |
Zip Code | 08690-3414 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811942337 | Mercer Surgical Group PC | Surgery | 2063 Klockner Rd, Hamilton, NJ 08690-3414 | 2006-05-23 |
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 |
Find all providers in zip 08690 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
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. |
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 |
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 |
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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.