Shah, Nita K
Shah, Nita K is an individual health care provider with primary practice located at 767 Northfield Ave , West Orange NJ 07052-1194. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Shah, Nita K can be contacted via phone (973) 992-9022.Contact Information
Primary practice address
767 Northfield Ave
West Orange NJ 07052-1194
Phone: (973) 992-9022
Fax: (973) 992-9024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MAO6581600 | New Jersey |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MAO6581600 | New Jersey |
Profile Details
| NPI number | 1538139399 |
|---|---|
| LBN Legal business name | Shah, Nita K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Aug 22nd, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538139399 | NPPES |
| New Jersey | MEDICAID | 8336300 |
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