NPIMap

Individual provider Active NPI

Izzat H Shah, MD

  • Cardiovascular Disease Physician
  • Bridgewater, NJ
National Provider Identifier
1023118106
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA06570100 Issued in NJ
Practice address
1121 Route 22 Ste 201
Bridgewater, NJ 08807
Phone
(908) 237-4110
NPI assigned
Sep 25, 2006
Last updated
Feb 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA06570100 NJ Primary

Addresses

Primary practice location

1121 Route 22 Ste 201
Bridgewater, NJ 08807

Mailing address

1100 Wescott Dr Ste G3
Flemington, NJ 08822-4600
Phone (908) 788-1710

Other practice location 1

1100 Wescott Dr Ste G3
Flemington, NJ 08822-4600
Phone (908) 788-1710

Other practice location 2

1121 Route 22 Ste 201
Bridgewater, NJ 08807
Phone (908) 237-4110

Other identifiers 1

IdentifierTypeStateIssuer
0294799MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100430000141 NJ Practitioner - Cardiovascular Disease (Cardiology) 9931236502 Reassigns benefits to 5 organizations
Practice locations: Edison, NJ

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

755 Memorial Pkwy
Suite 106
Phillipsburg, NJ 08865-2774
Phone (484) 503-8281

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06570100NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Medical Center CurrentSince Aug 1, 2017 Accepting new patients
Hunterdon Cardiovascular Associates Cardiovascular Disease CurrentSince Dec 13, 2018 Accepting new patients
St. Luke's Warren Physician Group, PC Current Accepting new patients
Hunterdon Medical Center Cardiovascular Disease CurrentSince Aug 1, 2017 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Nov 1, 2020 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Nov 1, 2020 Accepting new patients
Hunterdon Medical Center CurrentSince Jan 9, 2018 Accepting new patients
RB Cardiology Reading Associates LLC Cardiovascular Disease CurrentSince Jan 20, 2010 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
Cardiac Center of New Jersey Cardiovascular Disease Past Accepting new patients
Community Hospital Group, Inc Past Accepting new patients

Locations

1121 Route 22
Ste 201
Bridgewater, NJ 08807
Phone (908) 237-4110

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

1100 Wescott Dr
Ste G3
Flemington, NJ 08822
Phone (908) 788-1710

3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125

1100 Wescott Dr
Ste G4
Flemington, NJ 08822
Phone (908) 788-6471

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

409 Coventry Dr
Phillipsburg, NJ 08865
Phone (908) 213-0029

755 Memorial Pkwy
Ste 106
Phillipsburg, NJ 08865
Phone (908) 454-5221

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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

Hospital & facility affiliations 8

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1023118106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WESCOTT DR STE G3",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224600",
            "telephone_number": "908-788-1710",
            "fax_number": "908-788-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 ROUTE 22 STE 201",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "08807",
            "telephone_number": "908-237-4110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Wescott Dr Ste G3",
            "address_purpose": "LOCATION",
            "city": "Flemington",
            "state": "NJ",
            "postal_code": "088224600",
            "country_code": "US",
            "telephone_number": "908-788-1710",
            "fax_number": "908-788-1716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1121 Route 22 Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "NJ",
            "postal_code": "08807",
            "country_code": "US",
            "telephone_number": "908-237-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "IZZAT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA06570100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0294799",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.