Active NPI
Rasesh Shah, M.D.
- Otolaryngology Physician
- Woodbury, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 25MA07285900
- Practice address
- 620 N Broad St
Woodbury, NJ 08096-1795 - Phone
- (856) 576-5750
- Fax
- (856) 283-2046
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 25MA07285900 | NJ | Primary |
Addresses
Primary practice location
620 N Broad St
Woodbury, NJ 08096-1795
Mailing address
660 White Plains Rd FL 4
Tarrytown, NY 10591-5187
Phone (914) 333-5801
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
204 Ark Rd
Suite 102
Mount Laurel, NJ 08054-3100
Phone (856) 576-5743
Hospital & facility affiliations
- Jefferson Stratford Hospital
- Inspira Medical Center Vineland
- Virtua Willingboro Hospital
- Virtua Mount Holly Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.54 of 100
- Quality
- 89.88
- Promoting interoperability
- 87
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 12 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07285900 | NJ | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy Associates LLP | Otolaryngology | Current | Accepting new patients |
| KHS Ambulatory Surgery Center, LLC | Past | Accepting new patients | |
| ENT and Allergy Associates of Pennsylvania PLLC | Otolaryngology | Past | Accepting new patients |
Locations
204 Ark Rd
Ste 102
Mount Laurel, NJ 08054
Phone (856) 576-5743
239 Hurffville Crosskeys Rd
Ste 265
Sewell, NJ 08080
Phone (856) 576-5745
1131 Broad St
Ste 103
Shrewsbury, NJ 07702
Phone (732) 389-2438
1113 Hospital Dr
Ste 103
Willingboro, NJ 08046
Phone (856) 576-5749
620 N Broad St
Woodbury, NJ 08096
Phone (856) 602-4000
620 N Broad St
Ste 1301
Woodbury, NJ 08096
660 White Plains Rd
Fl Fourth
Tarrytown, NY 10591
Phone (914) 984-2546
660 White Plains Rd
Fl 4
Tarrytown, NY 10591
Phone (914) 984-2546
Interoperability endpoints
- rasesh.shah@direct.entandallergy.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- rshah@advancedent.emadirect.md
Organizations & group practices 3
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.
-
- Ambulatory Surgical Clinic/Center
- Sewell, NJ
- NPI 1124261771
-
- Allergy & Immunology Physician
- Willow Grove, PA
- NPI 1548098759
Otolaryngology
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
-
- General Acute Care Hospital
- Mount Holly, NJ
- NPI 1134125016
-
- General Acute Care Hospital
- Willingboro, NJ
- NPI 1053316844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1437159407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 WHITE PLAINS RD FL 4",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915187",
"telephone_number": "914-333-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 N BROAD ST",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080961795",
"telephone_number": "856-576-5750",
"fax_number": "856-283-2046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "RASESH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NJ",
"license": "25MA07285900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NJ
- Monica Janel Scott, PT
- Gady Ross Segal, DMD
- Michael Charles Senisch, PHYSICIAN ASSISTANT
- Services to Overcome Drug Abuse Among Teenagers, Inc.
- Services to Overcome Drug Abuse Among Teenagers, Inc.
- Richard A. Shaw, D.O.
- Robert Sheiman, MD
- Colleen Sheppard, LSW LCADC
- Iris Shihong
- Cecelia Christy Shively, M.S., LBS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.