| Shital Shah, MD | |
|
89 Sparta Ave., Suite 120, Sparta, NJ 07871-1777 | |
| (973) 729-0002 | |
| (973) 726-4456 |
| Full Name | Shital Shah |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 89 Sparta Ave., Sparta, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417992447 | NPI | - | NPPES |
| 0188131 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 214028 (Massachusetts) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 25MA08249100 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chesapeake Open Mri L L C | 9931178373 | 19 |
| Chesapeake Open Mri L L C | 9931178373 | 19 |
| Entity Name | Chesapeake Open Mri L L C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396076642 PECOS PAC ID: 9931178373 Enrollment ID: O20080422000350 |
| Mailing Address | Practice Location Address |
|---|---|
| Shital Shah, MD 2501 Oregon Pk., Suite 101, Lancaster, PA 17601-4890 Ph: (717) 293-3223 | Shital Shah, MD 89 Sparta Ave., Suite 120, Sparta, NJ 07871-1777 Ph: (973) 729-0002 |
Dr. Frederick Corio, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 89 Sparta Ave, Suite 120, Sparta, NJ 07871 Phone: 973-729-0002 Fax: 973-726-4456 | |
Dr. Robert Ranley, MD Radiology Medicare: Medicare Enrolled Practice Location: 89 Sparta Ave., Suite 120, Sparta, NJ 07871 Phone: 973-729-0002 Fax: 973-726-4456 | |
Kathy Kai Yee Lo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 89 Sparta Ave, Sparta, NJ 07871 Phone: 973-729-7001 Fax: 973-729-0256 | |
Dr. Richard Levine, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 89 Sparta Ave, Suite 120, Sparta, NJ 07871 Phone: 973-729-0002 Fax: 973-726-4456 | |
Dr. Matthew Skalla, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 89 Sparta Ave., Sparta, NJ 07871 Phone: 973-729-0002 Fax: 973-726-4456 | |
Orlando Cordero, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 89 Sparta Ave, Suite 120, Sparta, NJ 07871 Phone: 973-726-0002 Fax: 973-726-4456 |