DR. FALGUNI SHAH M.D.
NPI 1265452932
Pediatrics - Pediatric Infectious Diseases in Mountain Lakes, NJ

NPI Status: Active since July 19, 2006

Contact Information

4 BROOK LN
MOUNTAIN LAKES, NJ
ZIP 07046
Phone: (973) 334-0056

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  • Individual
  • Female
  • Pediatrics
  • Pediatric Infectious Diseases
  • Accepts Insurance

About FALGUNI SHAH

This page provides the complete NPI Profile along with additional information for Falguni Shah, a pediatrician established in Mountain Lakes, New Jersey with a medical specialization in Pediatrics, focusing in pediatric infectious diseases . The healthcare provider is registered in the NPI registry with number 1265452932 assigned on July 2006. The practitioner's primary taxonomy code is 2080P0208X with license number 25MA07138000 (NJ). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1265452932
Provider Name
DR. FALGUNI SHAH M.D.
Gender
Female
Entity Type
Individual
Location Address
4 BROOK LN MOUNTAIN LAKES, NJ 07046
Location Phone
(973) 334-0056
Mailing Address
4 BROOK LN MOUNTAIN LAKES, NJ 07046
Mailing Phone
(973) 334-0056
Is Sole Proprietor?
Yes
Enumeration Date
07-19-2006
Last Update Date
10-08-2012
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A pediatrician like Falguni Shah is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Infectious Diseases

Taxonomy Code
2080P0208X
Type
Allopathic & Osteopathic Physicians
License No.
25MA07138000
License State
NJ
Taxonomy Description
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Premier Bronze HSA - EPO
  • Premier Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
HO5680MEDICARE UPIN (02)NJ 
095388MHJMEDICARE ID-TYPE UNSPECIFIED (04)NJ 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265452932
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2212585496
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 8 + 5 + 4 + 9 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1265452932 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265452932, enumerated in the NPI registry as an "individual" on July 19, 2006

The provider is located at 4 Brook Ln Mountain Lakes, Nj 07046 and the phone number is (973) 334-0056

The provider's speciality is Pediatrics with taxonomy code 2080P0208X with a focus in Pediatric Infectious Diseases

The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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