Active NPI
Hitesh Shah, M.D.
- Emergency Medicine Physician
- Elizabeth, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MA08561000
- Practice address
- 225 Williamson St
Elizabeth, NJ 07202-3625 - Phone
- (609) 516-7599
- NPI assigned
- Jul 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MA08561000 | NJ | Primary |
Addresses
Primary practice location
225 Williamson St
Elizabeth, NJ 07202-3625
Mailing address
465 Meadow Rd
Apt 10110
Princeton, NJ 08540-6230
Other names 1
- Dr. Hitesh Mahendra Shah
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
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Jefferson Medical College of Thomas Jefferson University, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1120 Delsea Dr N
Glassboro, NJ 08028-1444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08561000 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Urgent Care Medicine of New Jersey LLP | Current | Accepting new patients | |
| Bayfront Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| Inspira SJ Urgent Care PC | Current | Accepting new patients | |
| Main Line Emergency Med Associates LLC | Emergency Medicine | Past | Accepting new patients |
| Inspira Health Network Medical Group, P.C. | Past | Accepting new patients | |
| Atlantic Emergency Associates, PA | Emergency Medicine | Past | Accepting new patients |
| South Jersey Urgicare LLC | Past | Accepting new patients |
Locations
56 W Main St
Ste 203
Christiana, DE 19702
1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170
1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071
1 Harmon Plz
Ste 1010
Secaucus, NJ 07094
3722 E Landis Ave
Ste Ij
Vineland, NJ 08361
Phone (856) 213-5900
3722 E Landis Ave
Unit 1
Vineland, NJ 08361
Phone (856) 213-5900
3722 E Landis Ave
Ste I
Vineland, NJ 08361
Phone (856) 213-5900
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Somers Point, NJ
- NPI 1215998273
-
- Urgent Care Clinic/Center
- Vineland, NJ
- NPI 1619320991
-
- Emergency Care Clinic/Center
- Edgewater, NJ
- NPI 1477927754
-
- Emergency Medicine Physician
- Atlantic City, NJ
- NPI 1124112768
-
- Multi-Specialty Clinic/Center
- Glassboro, NJ
- NPI 1922177856
-
- Urgent Care Clinic/Center
- Vineland, NJ
- NPI 1144643909
-
- Emergency Medicine Physician
- Paoli, PA
- NPI 1316919368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339545600000",
"number": "1215136114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 MEADOW RD",
"address_2": "APT 10110",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085406230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 WILLIAMSON ST",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072023625",
"telephone_number": "609-516-7599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "HITESH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-12",
"last_updated": "2012-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA08561000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HITESH",
"last_name": "SHAH",
"middle_name": "MAHENDRA",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.