Individual provider Active NPI

Mehek Shaikh, MD

  • Pediatrics Physician
  • Middletown, NJ
National Provider Identifier
1215564943
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA11976600 Issued in NJ
Practice address
941 Highway 35
Middletown, NJ 07748-2601
Phone
(732) 264-6070
NPI assigned
Mar 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 25MA11976600 NJ Primary

Addresses

Primary practice location

941 Highway 35
Middletown, NJ 07748-2601

Mailing address

611 Bordentown Ave Unit 103
South Amboy, NJ 08879-2175
Phone (305) 799-0437

Other practice location 1

201 Lyons Ave
Newark, NJ 07112-2027
Phone (800) 843-2384

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
I20240123001879 NJ Practitioner - Pediatric Medicine 4284086570 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11976600NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Associates of New Jersey Inc CurrentSince Feb 5, 2024 Accepting new patients
University Physician Associates of New Jersey Inc Pediatrics CurrentSince Feb 5, 2024 Accepting new patients
Children'S Health Center, LLC Pediatrics PastSince Dec 10, 2023 Accepting new patients

Locations

90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

30 Bergen St
#12
Newark, NJ 07107
Phone (973) 972-0037

Organizations & group practices 3

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1215564943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 BORDENTOWN AVE UNIT 103",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088792175",
            "telephone_number": "305-799-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 HIGHWAY 35",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482601",
            "telephone_number": "732-264-6070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Lyons Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071122027",
            "country_code": "US",
            "telephone_number": "800-843-2384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "MEHEK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA11976600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

Verify at the official NPI Registry.