Individual provider Active NPI

Jatin Shah, MD

  • Internal Medicine Physician
  • Kendall Park, NJ
National Provider Identifier
1417201567
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09823100 Issued in NJ
Practice address
3250 State Route 27 Ste 102
Kendall Park, NJ 08824-1550
Phone
(732) 419-2444
NPI assigned
Oct 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA09823100 NJ Primary

Addresses

Primary practice location

3250 State Route 27 Ste 102
Kendall Park, NJ 08824-1550

Mailing address

3250 State Route 27 Ste 102
Kendall Park, NJ 08824-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150915003254 PA Practitioner - Internal Medicine 1456668912 Reassigns benefits to 1 organization
I20160714000968 NJ Practitioner - HospitalistPractitioner - Internal Medicine 1456668912 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, 793 clinicians

Practice addresses (Care Compare)

1 Plainsboro Rd
Plainsboro, NJ 08536-1913
Phone (609) 853-7272

3250 State Route 27
Suite 102
Kendall Park, NJ 08824-1550
Phone (732) 930-1087

350 Forsgate Dr
Monroe, NJ 08831-5155

Hospital & facility affiliations

  • University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Healthcare Affiliated Physicians PC Internal Medicine CurrentSince Jun 17, 2019 Accepting new patients
Geisinger Clinic Current Accepting new patients
Princeton Healthcare Affiliated Physicians PC Internal Medicine Current Accepting new patients
Geisinger Clinic CurrentSince Sep 1, 2015 Accepting new patients
Hospitalist Physicians of New Jersey PA Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Geisinger Clinic CurrentSince Sep 1, 2015 Accepting new patients
NJ 365 Urgent Care LLC Internal Medicine CurrentSince May 2, 2020 Accepting new patients
Atlanticare Physician Group CurrentSince Sep 4, 2019 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Sep 4, 2019 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Jun 17, 2019 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jul 17, 2021 Accepting new patients
Atlanticare Physician Group PA Hospitalist Current Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Internal Medicine CurrentSince Jul 17, 2021 Accepting new patients
Princeton Healthcare System, a New Jersey Non-Profit Corporation Past Accepting new patients

Locations

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

65 James St
Edison, NJ 08820
Phone (732) 321-7010

3250 State Route 27
Ste 102
Kendall Park, NJ 08824
Phone (732) 419-2444

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

100 N Academy Ave
Danville, PA 17822

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1351382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1417201567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 STATE ROUTE 27 STE 102",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 STATE ROUTE 27 STE 102",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241550",
            "telephone_number": "732-419-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JATIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-28",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09823100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall Park, NJ

Sources for this page

Verify at the official NPI Registry.