Kinjalben Mounesh Shukla

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ15284400 Issued in NJ

Practice address

Westfield Ave,
2 Westfeild Ave
Clark, NJ 07066

Phone

(908) 505-5141

Fax

(908) 208-6492

NPI assigned

Feb 27, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Care Group, LLCGroup PAC ID 8628309382, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Primary Care Group LLC

  • Family Medicine Physician
  • Clark, NJ
  • NPI 1609421841
  Medicare reassignment Care Compare group NPD
• Edison-Clark Oral Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Edison, NJ
  • NPI 1568522993
  NPD

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1306643242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WESTFIELD AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070663226",
            "telephone_number": "732-357-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WESTFIELD AVE,",
            "address_2": "2 WESTFEILD AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "07066",
            "telephone_number": "908-505-5141",
            "fax_number": "908-208-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "KINJALBEN",
        "middle_name": "MOUNESH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ15284400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Sharma, OT
• Christine Elizabeth Sheerin, PT, DPT, OCS
• Shabiha Sheikh, PHARMD
• Shoprite Supermarkets, Inc (Shoprite Pharmacy 163)
• Jeffrey Adam Shrensel, MD
• Raisa Sigalova, MS, PT
• Valerie Sinacori, LAC, NCC
• Sukhmeet Singh, DPT
• Jody Skariah, M.D.
• Matthew Skoblar, D.O.

• Adult Health Nurse Practitioner in Clark, NJ
• Providers in Clark, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.