Active NPI
West Essex Medical Group PA
- Pediatrics Physician
- Verona, NJ
National Provider Identifier
1003993841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- WEST ESSEX MEDICAL GROUP PA
- Practice address
- 825 Bloomfield Avenue
Suite LL1
Verona, NJ 07044 - Phone
- (973) 364-1111
- Fax
- (973) 239-9099
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rita Shah
- Title
- President
- Phone
- (973) 857-7111
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Pediatrics Physician | 208000000X | Primary | ||
| General Practice Physician | 208D00000X |
Addresses
Primary practice location
825 Bloomfield Avenue
Suite LL1
Verona, NJ 07044
Mailing address
825 Bloomfield Avenue
Suite LL1
Verona, NJ 07044
Phone (973) 364-1111
National Provider Directory
National Provider DirectoryLocations
526 Bloomfield Ave
Ste 200
Caldwell, NJ 07006
Phone (973) 226-9400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Verona, NJ
- NPI 1417916727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1003993841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 BLOOMFIELD AVENUE",
"address_2": "SUITE LL1",
"city": "VERONA",
"state": "NJ",
"postal_code": "07044",
"telephone_number": "973-364-1111",
"fax_number": "973-239-9099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 BLOOMFIELD AVENUE",
"address_2": "SUITE LL1",
"city": "VERONA",
"state": "NJ",
"postal_code": "07044",
"telephone_number": "973-364-1111",
"fax_number": "973-239-9099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST ESSEX MEDICAL GROUP PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "RITA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-857-7111"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Verona, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.