Rajan Shah MD PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MA40413 Issued in NJ

Legal business name

RAJAN SHAH MD PA

Practice address

1060 Broad St
Newark, NJ 07102-2397

Phone

(973) 642-0280

Fax

(973) 642-0047

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Rajan S Shah, MD

Title

President

Phone

(973) 642-0280

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amol R Shah, MD

  • Gastroenterology Physician
  • Newark, NJ
  • NPI 1912347030
  NPD (past)
• Sandhya R Shah, MD

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1770513376
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1265627376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 FALCON RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394427",
            "telephone_number": "973-642-0280",
            "fax_number": "973-642-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022397",
            "telephone_number": "973-642-0280",
            "fax_number": "973-642-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJAN SHAH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RAJAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-642-0280",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA40413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0560901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rainbow Therapy ABA
• Colden Douglas Raines Jr., DDS
• Idrissa Tyisha Emily Rainey
• James D Rainey, DC
• Nirmala S Rajakumar, MD
• Vidya Ramachandraiah, M.D.
• Sudheesh Ramachandran
• Alysa Lynn Ramalho
• Navindra Ramcharran, PHARMD
• Epifania Lopez Ramirez, M.D.

• Gastroenterology Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.