Organization Active NPI

Neha Shah MD LLC

  • Internal Medicine Physician
  • Edison, NJ
National Provider Identifier
1275793705
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08231700 Issued in NJ
Legal business name
NEHA SHAH MD LLC
Practice address
2141 Oak Tree Rd
Edison, NJ 08820-1044
Phone
(732) 516-0707
Fax
(732) 516-0088
NPI assigned
Jun 9, 2008
Last updated
Mar 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Dr. Nehabahen V Shah, MDNPI 1932388931
Title
President/ Physician
Phone
(908) 444-6190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08231700 NJ Primary

Addresses

Primary practice location

2141 Oak Tree Rd
Edison, NJ 08820-1044

Mailing address

84 Kennedy St
Iselin, NJ 08830-1741
Phone (908) 444-6190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121106000338 NJ Part B Supplier - Clinic/Group Practice 6002067725 Receives reassigned benefits from 1 practitioner
Practice locations: Edison, NJ

National Provider Directory

National Provider Directory

Locations

2141 Oak Tree Rd
Edison, NJ 08820
Phone (732) 516-0707

2141 Oak Tree Rd
Ofc
Edison, NJ 08820
Phone (732) 516-0707

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1275793705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 KENNEDY ST",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088301741",
            "telephone_number": "908-444-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201044",
            "telephone_number": "732-516-0707",
            "fax_number": "732-516-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEHA SHAH MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NEHABAHEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT/ PHYSICIAN",
        "authorized_official_telephone_number": "908-444-6190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08231700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.