Individual provider Active NPI

Hemangini R Shah, D.O.

  • Radiation Oncology Physician
  • Manahawkin, NJ
National Provider Identifier
1336162015
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
25MB06306300 Issued in NJ
Practice address
1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone
(609) 978-2194
Fax
(609) 978-2843
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 220128 NY
Radiation Oncology Physician 2085R0001X 25MB06306300 NJ Primary

Addresses

Primary practice location

1140 Route 72 W
Manahawkin, NJ 08050-2412

Mailing address

PO Box 841180
Dallas, TX 75284-1180
Phone (609) 978-2194

Other identifiers 3

IdentifierTypeStateIssuer
0219347MedicaidNJ
02136496MedicaidNY
220128OtherNYNYS LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hshah21317@njurology.direct-ci.com New Jersey Urology LLC

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
I20100406000308 NJ Practitioner - Radiation Oncology 9830111327 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Rowan University School of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Point Medical Associates LLCGroup PAC ID 9335182658, 2 clinicians

Practice addresses (Care Compare)

900 Route 70 E
Lakewood, NJ 08701-5940
Phone (732) 901-7314

Hospital & facility affiliations

  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220128NYMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Memorial Hospital Radiation Oncology CurrentSince Nov 19, 2013 Accepting new patients
Jersey Shore Brachytherapy P a Radiation Oncology CurrentSince Oct 15, 2021 Accepting new patients
Saint Peter'S University Hospital CurrentSince May 1, 2012 Accepting new patients
Saint Peter'S University Hospital CurrentSince May 1, 2012 Accepting new patients
New Jersey Urology LLC Radiation Oncology CurrentSince Mar 30, 2021 Accepting new patients
Urologic Health Center of N.J. P.C. Past Accepting new patients
University Hill Radiation Oncology Radiation Oncology Past Accepting new patients
Summit Medical Group, Inc Past Accepting new patients

Locations

36 Newark Ave
Ste 200
Belleville, NJ 07109
Phone (973) 759-6180

1515 Broad St
Ste B130
Bloomfield, NJ 07003
Phone (973) 842-2730

900 Route 70
Lakewood, NJ 08701
Phone (732) 741-5923

900 Route 70
Ste 2A
Lakewood, NJ 08701
Phone (732) 901-7314

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

123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000

160 Pehle Ave
#C
Saddle Brook, NJ 07663
Phone (201) 881-1000

1103 W Sherman Ave
Ste 2B
Vineland, NJ 08360
Phone (856) 213-4035

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1336162015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841180",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752841180",
            "telephone_number": "609-978-2194",
            "fax_number": "609-978-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 ROUTE 72 W",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502412",
            "telephone_number": "609-978-2194",
            "fax_number": "609-978-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HEMANGINI",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "220128",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MB06306300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0219347",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02136496",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "220128",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hshah21317@njurology.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "New Jersey Urology LLC",
            "address_1": "1515 Broad St",
            "address_2": "Suite B130",
            "city": "Bloomfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070033002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.