Individual provider Active NPI

Margi Shah, OD

  • Optometrist
  • Hillsdale, NJ
National Provider Identifier
1255954442
Registry record updated Dec 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00696800 Issued in NJ
Practice address
330 Broadway Ste a
Hillsdale, NJ 07642-1438
Phone
(201) 666-8081
Fax
(201) 666-8082
NPI assigned
May 21, 2020
Last updated
Dec 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00696800 NJ Primary

Addresses

Primary practice location

330 Broadway Ste a
Hillsdale, NJ 07642-1438

Mailing address

5 Roosevelt PL Apt 1L
Montclair, NJ 07042-3350
Phone (848) 391-7760

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200811000176 NJ Practitioner - Optometry 1254756000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

330 Broadway
Suite a
Hillsdale, NJ 07642-1438
Phone (201) 666-8081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Margi Shah OD, LLC Optometrist CurrentSince Dec 3, 2024 Accepting new patients
Dr. Edward T Beja Associate Doctor of Optometry PC Optometrist CurrentSince Dec 1, 2024 Accepting new patients

Locations

330 Broadway
Ste A
Hillsdale, NJ 07642
Phone (201) 666-8081

Interoperability endpoints

  • Direct secure messaging: mshah@ecoa.intellechartdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733616000000",
    "number": "1255954442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ROOSEVELT PL APT 1L",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423350",
            "telephone_number": "848-391-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROADWAY STE A",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076421438",
            "telephone_number": "201-666-8081",
            "fax_number": "201-666-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MARGI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00696800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, NJ

Sources for this page

Verify at the official NPI Registry.