Provider Demographics
NPI:1487060273
Name:SHETH, SHYAM (DPM)
Entity type:Individual
Prefix:DR
First Name:SHYAM
Middle Name:
Last Name:SHETH
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 PAXSON AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-1942
Mailing Address - Country:US
Mailing Address - Phone:609-743-0647
Mailing Address - Fax:
Practice Address - Street 1:50 CHERRY HILL RD STE 206
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1101
Practice Address - Country:US
Practice Address - Phone:973-334-1770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-01
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006589213ES0103X
NJ25MD00342100213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery