Individual provider Active NPI

Vinit S Shah, DO

  • Internal Medicine Physician
  • Edison, NJ
National Provider Identifier
1225567720
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB10707300 Issued in NJ
Practice address
102 James St Ste 304
Edison, NJ 08820-3970
Phone
(732) 243-9274
NPI assigned
Jun 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB10707300 NJ Primary

Addresses

Primary practice location

102 James St Ste 304
Edison, NJ 08820-3970

Mailing address

42 E Laurel Rd Ste 3100
Stratford, NJ 08084-1354
Phone (856) 566-2753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201102000716 NJ Practitioner - Internal Medicine 8628488764 Reassigns benefits to 1 organization
I20220330000227 PA Practitioner - Internal Medicine 8628488764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rowan University School of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Vein Restoration NJ LLCGroup PAC ID 0042430332, 11 clinicians

Practice addresses (Care Compare)

206 Bergen Ave
Suite 206
Kearny, NJ 07032-3387
Phone (855) 830-8346

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal462

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB10707300NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vein Restoration PA PLLC CurrentSince Mar 14, 2022 Accepting new patients
Center for Vein Restoration PA PLLC CurrentSince Mar 14, 2022 Accepting new patients
Center for Vein Restoration NJ LLC CurrentSince Oct 26, 2020 Accepting new patients
Center for Vein Restoration NJ LLC CurrentSince Oct 26, 2020 Accepting new patients

Locations

7474 Greenway Center Dr
Ste 1000
Greenbelt, MD 20770
Phone (240) 965-3271

557 Cranbury Rd
Ste 15
East Brunswick, NJ 08816
Phone (732) 698-9300

102 James St
Ste 101
Edison, NJ 08820
Phone (855) 809-9600

303 W Main St
Ste 140
Freehold, NJ 07728

211 Essex St
Ste 403
Hackensack, NJ 07601
Phone (201) 646-0044

3840 Quakerbridge Rd
Ste 220
Hamilton, NJ 08619

206 Bergen Ave
Ste 206
Kearny, NJ 07032
Phone (201) 955-2284

456 Chestnut St
Unit 301
Lakewood, NJ 08701

25 Lindsley Dr
Ste 310
Morristown, NJ 07960

8901 Kennedy Blvd
Ste 3E
North Bergen, NJ 07047
Phone (855) 653-8346

1015 New Rd
Ste D
Northfield, NJ 08225

46 Vreeland Dr
Ste 1
Skillman, NJ 08558

2333 Morris Ave
Ste D210
Union, NJ 07083
Phone (908) 258-0220

205 Browertown Rd
Ste 2
Woodland Park, NJ 07424
Phone (240) 830-8346

1338 Bristol Pike
Ste 205
Bensalem, PA 19020
Phone (484) 472-7430

501 Bath Rd
Ste 215
Bristol, PA 19007
Phone (215) 785-9905

300 Welsh Rd
Bldg 2
Horsham, PA 19044
Phone (855) 930-8346

170 N Henderson Rd
Ste 302
Kng of Prussa, PA 19406
Phone (610) 265-8700

2025 Technology Pkwy
Ste 304
Mechanicsburg, PA 17050
Phone (717) 791-2650

744 Lancaster Ave
Ste 225
Wayne, PA 19087
Phone (610) 687-5347

Interoperability endpoints

  • Direct secure messaging: vinit.shah.p5@direct.cvr.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1225567720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD STE 3100",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 JAMES ST STE 304",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203970",
            "telephone_number": "732-243-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VINIT",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB10707300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.