Provider Demographics
NPI:1205115607
Name:KUMTA, SHILPA NARSING (MD)
Entity type:Individual
Prefix:DR
First Name:SHILPA
Middle Name:NARSING
Last Name:KUMTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:140 E RIDGEWOOD AVE STE 480
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-3917
Mailing Address - Country:US
Mailing Address - Phone:347-922-1463
Mailing Address - Fax:201-523-9635
Practice Address - Street 1:140 E RIDGEWOOD AVE STE 480N
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-3917
Practice Address - Country:US
Practice Address - Phone:201-447-8182
Practice Address - Fax:201-523-9635
Is Sole Proprietor?:No
Enumeration Date:2011-08-16
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA102003002080P0205X
TXP6852208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology