NPIMap

Individual provider Active NPI

Shalin Tarun Shah, D.O.

  • Orthopaedic Surgery Physician
  • Hazlet, NJ
National Provider Identifier
1083098271
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
306151 Issued in NY
Practice address
1 Bethany Rd Ste 21
Hazlet, NJ 07730-1660
Phone
(732) 264-8282
Fax
(732) 264-8131
NPI assigned
Jul 17, 2015
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MB12112200 NJ
Orthopaedic Surgery Physician 207X00000X 306151 NY Primary

Addresses

Primary practice location

1 Bethany Rd Ste 21
Hazlet, NJ 07730-1660

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5688
Phone (732) 807-0877

Other practice location 1

4901 Lac De Ville Blvd Bldg D
Rochester, NY 14618-5647
Phone (585) 275-5321

Other practice location 2

300 Perrine Rd Ste 315
Old Bridge, NJ 08857-3628
Phone (732) 264-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, VA, NJ3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210716000987 CA Practitioner - Orthopedic Surgery 1951618800 Reassigns benefits to 1 organization
I20220115000166 VA Practitioner - Orthopedic Surgery 1951618800 Reassigns benefits to 1 organization
I20240429002307 NJ Practitioner - Orthopedic Surgery 1951618800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-1288

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB12112200NJMDOrthopaedic Surgery Physician
306151NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 20, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Orthopaedic Surgery CurrentSince May 20, 2024 Accepting new patients
San Diego Center for Spinal Disorders Medical Group, Inc. CurrentSince Sep 1, 2021 Accepting new patients
MCV Associated Physicians Orthopaedic Surgery CurrentSince Dec 1, 2021 Accepting new patients

Locations

6190 Cornerstone Ct E
Ste 21
San Diego, CA 92121
Phone (858) 246-6305

6190 Cornerstone Ct E
Ste 212
San Diego, CA 92121
Phone (619) 500-5554

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0880

11958 W Broad St
Richmond, VA 23233
Phone (804) 360-4669

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

417 N 11th St
Richmond, VA 23298
Phone (804) 828-0733

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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, 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": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1083098271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015688",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD STE 21",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301660",
            "telephone_number": "732-264-8282",
            "fax_number": "732-264-8131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4901 Lac De Ville Blvd Bldg D",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146185647",
            "country_code": "US",
            "telephone_number": "585-275-5321",
            "fax_number": "585-276-1202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Perrine Rd Ste 315",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088573628",
            "country_code": "US",
            "telephone_number": "732-264-8282",
            "fax_number": "732-264-8131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHALIN",
        "middle_name": "TARUN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-17",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MB12112200",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "306151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

Verify at the official NPI Registry.