Individual provider Active NPI

Hitesh Shah, M.D.

  • Emergency Medicine Physician
  • Elizabeth, NJ
National Provider Identifier
1215136114
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA08561000 Issued in NJ
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

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090629000082 NJ Practitioner - Emergency Medicine 4688725823 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
25MA08561000NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Apr 1, 2021 Accepting new patients
Bayfront Emergency Physicians PA Emergency Medicine CurrentSince Aug 1, 2012 Accepting new patients
Inspira SJ Urgent Care PC CurrentSince May 1, 2023 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 PastSince Feb 8, 2023 Accepting new patients
South Jersey Urgicare LLC PastSince Jul 1, 2014 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.

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

Verify at the official NPI Registry.