Individual provider Active NPI

Shridevi Navinchandra Pandya Shah, M.D.

  • Anesthesiology Physician
  • East Brunswick, NJ
National Provider Identifier
1336122795
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA07521400 Issued in NJ
Practice address
53 Hartlander St
East Brunswick, NJ 08816-2668
Phone
(973) 972-5255
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA07521400 NJ Primary

Addresses

Primary practice location

53 Hartlander St
East Brunswick, NJ 08816-2668

Mailing address

53 Hartlander St
East Brunswick, NJ 08816-2668
Phone (973) 972-5255

Other identifiers 2

IdentifierTypeStateIssuer
0003646MedicaidNJ
02666695MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050906000149 NJ Practitioner - Anesthesiology 3678505211 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

810 Ryders LN
East Brunswick, NJ 08816-5849
Phone (732) 222-3805

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07521400NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Health, LLC Anesthesiology CurrentSince Oct 1, 2024 Accepting new patients
New Brunswick Anesthesia Associates Anesthesiology CurrentSince Jan 1, 2026 Accepting new patients
New Jersey Healthcare Specialists PC Anesthesiology PastSince May 7, 2023 Accepting new patients

Locations

810 Ryders Ln
East Brunswick, NJ 08816
Phone (732) 222-3805

561 Cranbury Rd
East Brunswick, NJ 08816
Phone (201) 620-3010

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

42 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 607-1111

33 Clyde Rd
Ste 102
Somerset, NJ 08873
Phone (732) 873-9200

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

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, 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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1336122795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 HARTLANDER ST",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162668",
            "telephone_number": "973-972-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 HARTLANDER ST",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162668",
            "telephone_number": "973-972-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDYA SHAH",
        "first_name": "SHRIDEVI",
        "middle_name": "NAVINCHANDRA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA07521400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003646",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02666695",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.