Individual provider Active NPI

Pradip A Shah, MD

  • Infectious Disease Physician
  • Edison, NJ
National Provider Identifier
1437175155
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MA57551 Issued in NJ
Practice address
1964 Oak Tree Rd
Edison, NJ 08820-2016
Phone
(732) 635-0050
Fax
(732) 635-0051
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MA57551 NJ Primary

Addresses

Primary practice location

1964 Oak Tree Rd
Edison, NJ 08820-2016

Mailing address

1964 Oak Tree Rd
Edison, NJ 08820-2016
Phone (732) 635-0050

Other identifiers 1

IdentifierTypeStateIssuer
6068405MedicaidNJ

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
I20100127000107 NJ Practitioner - Infectious DiseasePractitioner - Internal Medicine 0345382537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1964 Oak Tree Rd
Edison, NJ 08820-2016
Phone (732) 635-0050

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
  • Robert Wood Johnson University Hospital at Rahway Hospital, Rahway, NJ, CCN 310024
  • Embassy Manor at Edison Nursing and Rehabilitation Nursing home, Edison, NJ, CCN 315279

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA57551NJMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pradip a. Shah, M.D. P.C. Infectious Disease CurrentSince Jan 30, 2010 Accepting new patients

Locations

1964 Oak Tree Rd
Edison, NJ 08820
Phone (732) 331-4943

750 Broadway
Ste D
Paterson, NJ 07514
Phone (973) 279-8850

Organizations & group practices 1

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 6

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1437175155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1964 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202016",
            "telephone_number": "732-635-0050",
            "fax_number": "732-635-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202016",
            "telephone_number": "732-635-0050",
            "fax_number": "732-635-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PRADIP",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "MA57551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6068405",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.