Organization Active NPI

Chirag S Shah MD LLC

  • Ophthalmology Physician
  • Lawrenceville, NJ
National Provider Identifier
1073794087
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CHIRAG S SHAH MD LLC
Practice address
2999 Princeton Pike Ste 1
Lawrenceville, NJ 08648-3261
Phone
(609) 895-6655
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Chirag ShahNPI 1174550818
Title
Physician
Phone
(609) 895-6655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2999 Princeton Pike Ste 1
Lawrenceville, NJ 08648-3261

Mailing address

2999 Princeton Pike Ste 1
Lawrenceville, NJ 08648-3261
Phone (609) 895-6655

Other identifiers 4

IdentifierTypeStateIssuer
1167510OtherHORIZON NJ HEALTH
P2640513OtherOXFORD
2K1894OtherHEALTHNET
2127852000OtherAMERIHEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090529000264 NJ Part B Supplier - Clinic/Group Practice 8325197015 Receives reassigned benefits from 4 practitioners
Practice locations: Lawrenceville, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1073794087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 PRINCETON PIKE STE 1",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086483261",
            "telephone_number": "609-895-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 PRINCETON PIKE STE 1",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086483261",
            "telephone_number": "609-895-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRAG S SHAH MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "609-895-6655"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1167510",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2640513",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K1894",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2127852000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.