Individual provider Active NPI

Sweta Shah

  • Family Medicine Physician
  • Toms River, NJ
National Provider Identifier
1003203118
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB09976600 Issued in NJ
Practice address
25 Mule Rd Unit B4
Toms River, NJ 08755-5037
Phone
(732) 341-0020
Fax
(732) 341-0072
NPI assigned
Apr 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 25MB09976600 NJ Primary

Addresses

Primary practice location

25 Mule Rd Unit B4
Toms River, NJ 08755-5037

Mailing address

25 Mule Rd Unit B4
Toms River, NJ 08755-5037
Phone (732) 341-0020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170605000061 NJ Practitioner - Family Practice 3274800701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rowan University School of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bankim D. Shah M.D. PAGroup PAC ID 3870760531, 5 clinicians

Practice addresses (Care Compare)

25 Mule Rd
Unit B4
Toms River, NJ 08755-5037
Phone (732) 341-0020

Hospital & facility affiliations

  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
  • Bayada Home Health Care, Inc Home health agency, Whiting, NJ, CCN 317031
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
MVP Medical Associates, PA CurrentSince Nov 1, 2017 Accepting new patients
Bankim D. Shah M.D. PA CurrentSince Jun 1, 2017 Accepting new patients
MVP Medical Associates, PA CurrentSince Nov 1, 2017 Accepting new patients
MVP Medical Associates II LLC Current Accepting new patients

Locations

1803 State Route 35
Oakhurst, NJ 07755
Phone (732) 695-3668

1851 Hooper Ave
Ste B1
Toms River, NJ 08753
Phone (732) 255-2001

1851 Hooper Ave
Ste B
Toms River, NJ 08753
Phone (732) 255-2001

25 Mule Rd
Unit B4
Toms River, NJ 08755
Phone (732) 341-0020

19 Mule Rd
Ste C7
Toms River, NJ 08755
Phone (732) 557-4488

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1003203118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MULE RD UNIT B4",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555037",
            "telephone_number": "732-341-0020",
            "fax_number": "732-341-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MULE RD UNIT B4",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555037",
            "telephone_number": "732-341-0020",
            "fax_number": "732-341-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SWETA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09976600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.