Healthcare Provider Details

I. General information

NPI: 1003731670
Provider Name (Legal Business Name): URVI SHAH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 STATE ROUTE 10 APT 301
WHIPPANY NJ
07981-1555
US

IV. Provider business mailing address

444 STATE ROUTE 10 APT 301
WHIPPANY NJ
07981-1555
US

V. Phone/Fax

Practice location:
  • Phone: 732-668-6582
  • Fax:
Mailing address:
  • Phone: 732-668-6582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: