JAIMIN J SHAH PA-C
NPI 1619386646
Physician Assistant - Medical in Philadelphia, PA
About Jaimin J Shah Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAIMIN J SHAH PA-C (NPI 1619386646) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Maryland (C5398) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jaimin J Shah Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PHILADELPHIA, PA 19104
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 Jaimin Shah's NPI number?
The NPI number for Jaimin Shah is 1619386646. It was assigned to this individual provider in the NPPES registry on August 4, 2014.
Where is Jaimin Shah located?
Jaimin Shah practices at 51 N 39th St Mob 1st Floor, Suite 120, Philadelphia, PA 19104. The listed phone number is (215) 662-7320.
What is Jaimin Shah's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Jaimin Shah enrolled in Medicare?
Yes. Jaimin Shah is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jaimin Shah was last updated on August 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jaimin J Shah, PA-C · NPI 1619386646
Medical physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 4, 2014.
## Identity
- **NPI:** 1619386646 (Entity type: Individual)
- **Enumerated:** August 4, 2014
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** C5398 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 51 N 39TH ST, MOB 1ST FLOOR, SUITE 120, Philadelphia, PA 19104-2640
- **Phone:** (215) 662-7320
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 29, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1619386646) · Data from the CMS NPPES public registry.