MEDICARE: DR. NEHA PARESH SHAH DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0300X	Periodontics	22DI102190701	NJ

General Provider Information

NPI Number	:	1376614180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEHA PARESH SHAH DMD

Provider Business Mailing Address
First Line	:	272 US HIGHWAY 206 STE 210
Second Line	:
City	:	FLANDERS
State	:	NJ
Zip	:	07836-9081
Country	:	US
Telephone Number	:	973-768-6922
Fax Number	:	973-879-8367

Provider Business Practice Location Address
First Line	:	272 US HIGHWAY 206 STE 210
Second Line	:
City	:	FLANDERS
State	:	NJ
Zip	:	07836-9081
Country	:	US
Telephone Number	:	973-629-1900
Fax Number	:	973-629-1900

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	03/18/2026

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