DARSHAN J SHAH MD LLC
NPI 1225516305
Dietitian, Registered in Enfield, CT

Active since August 01, 2018CLIA 07D1106066 · Waiver
139 HAZARD AVE, BLDG #4, ENFIELD, CT 06082(860) 783-0208(860) 763-0224 Get Directions Write a Review

NPPES record last updated: August 1, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Darshan J Shah Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DARSHAN J SHAH MD LLC (NPI 1225516305) is a healthcare organization registered as a dietitian, registered in Enfield, Connecticut and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through October 4, 2027 and lists Pinki Shah, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1225516305
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameDARSHAN J SHAH MD LLC
Location Address139 HAZARD AVE, BLDG #4Enfield, CT 06082
Mailing Address139 Hazard Ave, Bldg #4Enfield, CT 06082 · (860) 763-0208 · Fax (860) 763-0224
Fax(860) 763-0224
Organization SubpartYes
Authorized OfficialPinki ShahBusiness Manager · (860) 763-0208
Enumeration DateAugust 1, 2018
NPI 1225516305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in CT · 001390
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
139 HAZARD AVE, Enfield, CT 06082

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D1106066

Darshan J Shah MD LLC · Enfield, CT
Active · expires Oct 4, 2027
CLIA Number07D1106066
Laboratory TypePhysician Office
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorDarshan J. Shah MD
Laboratory Phone(860) 763-0208
Laboratory LocationDarshan J Shah MD LLC139 Hazard Avenue, Bldg #4, Enfield, CT 06082
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
139 HAZARD AVE, SUITE 2-6
ENFIELD, CT 06082
Community/Behavioral Health
139 HAZARD AVE, BUILDING 2/UNIT 8
ENFIELD, CT 06082
Marriage & Family Therapist
139 HAZARD AVE, BLDG 2, SUITE 8
ENFIELD, CT 06082
Naturopath
139 HAZARD AVE, UNIT 6
ENFIELD, CT 06082
Durable Medical Equipment & Medical Supplies
139 HAZARD AVE, BUILDING #6
ENFIELD, CT 06082
Dietitian, Registered
139 HAZARD AVE, #4
ENFIELD, CT 06082
Obstetrics & Gynecology
139 HAZARD AVE, BLDG 3 UNIT 10
ENFIELD, CT 06082
Psychologist (Clinical)
139 HAZARD AVE, SUITE 7
ENFIELD, CT 06082

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Darshan J Shah MD LLC's NPI number?

The NPI number for Darshan J Shah MD LLC is 1225516305. It was assigned to this organization in the NPPES registry on August 1, 2018.

Where is Darshan J Shah MD LLC located?

Darshan J Shah MD LLC is located at 139 Hazard Ave Bldg #4, Enfield, CT 06082. The listed phone number is (860) 783-0208.

What is Darshan J Shah MD LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Does Darshan J Shah MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D1106066) is associated with this NPI, valid through October 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Darshan J Shah MD LLC was last updated on August 1, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.