Look up the most recent NPI and PECOS records

Ruchi Shah

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Ruchi Shah is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1235773490
Provider Type
Individual
Full Name
Shah, Ruchi
Credential
MHS, PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
10/31/2019
Last Updated
10/31/2019

Contact Information

Practice Location

19 Davis Ave, Neptune, NJ 07753-4488

(732) 212-6598

Unlisted Fax

Mailing Location

8421 Newkirk Ave, North Bergen, NJ 07047-4348

(201) 618-0857

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 25MP00550700 New Jersey

Ruchi Shah

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Tuz, Zoryana E

Spader, Sarah Juliann

Bendavid, Krista Renee

Shahbaz, Hunter Lynn

Chaballa, Brian

Greenberger, Devora

Lopes, Kristina M

Gasser, Brittany

Olsen, Mary Jane

Klein, Alexys Rose