Radha A Shah, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00540500 Issued in NJ

Practice address

18 N 3Rd Ave
Highland Park, NJ 08904-2408

Phone

(732) 545-0094

NPI assigned

Dec 15, 2014

Sex

Female

Sole proprietor

No

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yes Wellness PAGroup PAC ID 2062756166, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.74 of 100Reported as group

Quality

78.01

Improvement activities

40

Cost

65.13

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.

• Yes Wellness PA

  • Physical Medicine & Rehabilitation Physician
  • Hoboken, NJ
  • NPI 1730656463
  Medicare reassignment Care Compare group NPD
• Sudhir M Parikh M D P a

  • Allergy & Immunology Physician
  • Highland Park, NJ
  • NPI 1750309589
  Medicare reassignment
• Asthma & Allergy Medical Care PC

  • Allergy & Immunology Physician
  • Huntington, NY
  • NPI 1801982236
  NPD (past)

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1336547801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N 3RD AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042408",
            "telephone_number": "732-545-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N 3RD AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042408",
            "telephone_number": "732-545-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RADHA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00540500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R Seese II
• Samantha P Seigerman, LCSW
• Lori Robin Sequeira, LPC
• SH Medical Associates LLC
• Roberta Shagam, LCSW
• Abrar Shahin, BCBA
• Keyan Shang
• Michelle Shapiro, D.M.D.
• Shawn Sobkowski, Ed.D., P.a.
• Brett A Sheldon, LCSW

• Nurse Practitioner in Highland Park, NJ
• Providers in Highland Park, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.