| Dr Pankaj H Shah, DMD | |
|
275 Hobart St, Perth Amboy, NJ 08861-3396 | |
| (732) 376-9333 | |
| Not Available |
| Full Name | Dr Pankaj H Shah |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 275 Hobart St, Perth Amboy, 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 |
|---|---|---|---|
| 1417081993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02423700 (New Jersey) | Primary |
| Entity Name | Star Community Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033686159 PECOS PAC ID: 7618215237 Enrollment ID: O20190206002009 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Pankaj H Shah, DMD Po Box 1220, Attn: Credentialing/hr, Perth Amboy, NJ 08862-1220 Ph: (732) 376-9333 | Dr Pankaj H Shah, DMD 275 Hobart St, Perth Amboy, NJ 08861-3396 Ph: (732) 376-9333 |
Mozhdeh Nematollahi, Dentist Medicare: Not Enrolled in Medicare Practice Location: 252 Madison Ave Ste 106, Perth Amboy, NJ 08861 Phone: 732-997-6453 | |
Dr. Francis H. Lang Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 Market St, Perth Amboy, NJ 08861 Phone: 732-826-5638 Fax: 732-826-9011 | |
Dr. Maheen Kibria, DDS Dentist Medicare: Medicare Enrolled Practice Location: 161 New Brunswick Ave Ste 203, Perth Amboy, NJ 08861 Phone: 732-884-5455 | |
Dr. Gloria I. Pou, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 374 State St, Perth Amboy, NJ 08861 Phone: 732-324-8500 | |
Dr. Victoria Elizabeth Welsh, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 275 Hobart St, Perth Amboy, NJ 08861 Phone: 732-376-6606 | |
Dr. Seth David Margulies, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 613 Amboy Ave, Perth Amboy, NJ 08861 Phone: 732-442-7300 | |
Mr. Bassam Massabny, DDS Dentist Medicare: Medicare Enrolled Practice Location: 275 Hobart Street, Perth Amboy, NJ 08861 Phone: 732-376-9333 Fax: 732-324-5765 |