Active NPI
Tarun J Shah, M.D.
- Allergy Physician
- Sea Girt, NJ
National Provider Identifier
1053385484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- MA59668
- Practice address
- 2130 Highway 35
Suite 115a
Sea Girt, NJ 08750-1010 - Phone
- (732) 974-9797
- Fax
- (732) 974-9799
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | MA59668 | NJ | Primary |
Addresses
Primary practice location
2130 Highway 35
Suite 115a
Sea Girt, NJ 08750-1010
Mailing address
2130 Highway 35
Suite 115a
Sea Girt, NJ 08750-1010
Phone (732) 974-9797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5654700 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090401000046 | NJ | Practitioner - Allergy/Immunology | 9739245085 | Practice locations: Old Bridge, NJ; Sea Girt, NJ; Brick, NJ; Bayville, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 1984
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
200 Perrine Rd
Suite 209
Old Bridge, NJ 08857-2836
Phone (732) 721-1221
2130 Hwy 35
Sea Girt, NJ 08750-1010
Phone (732) 974-9797
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA59668 | NJ | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Primary Care PC | Past | Accepting new patients |
Interoperability endpoints
- https://mepic.hmhn.org/fhir/api/FHIR/R4/
Organizations & group practices 1
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.
-
dba HMHMG Primary Care
- Family Medicine Physician
- Red Bank, NJ
- NPI 1336203538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224633600000",
"number": "1053385484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 HIGHWAY 35",
"address_2": "SUITE 115A",
"city": "SEA GIRT",
"state": "NJ",
"postal_code": "087501010",
"telephone_number": "732-974-9797",
"fax_number": "732-974-9799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 HIGHWAY 35",
"address_2": "SUITE 115A",
"city": "SEA GIRT",
"state": "NJ",
"postal_code": "087501010",
"telephone_number": "732-974-9797",
"fax_number": "732-974-9799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "TARUN",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2008-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "NJ",
"license": "MA59668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5654700",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sea Girt, NJ
- Bruce Allen Schuster, O.D.
- Sea Girt Dental Associates, L.L.C. (Associates In Dentistry)
- Seaview Medical Associates, LLC
- Serene Counseling Services, LLC
- Sonam Shah, DPT, MBA
- Shore Endodontics of Sea Girt PA (Shore Endodontics)
- Shore Family Counseling
- Shore Geriatrics, LLC
- Shore Orthopedic & Athletic Rehabilitation, PA (S.O.A.R. Physical Therapy)
- Shore Perinatal Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.