Individual provider Active NPI

Mehul D. Shah, D.O.

  • Interventional Pain Medicine Physician
  • Freehold, NJ
National Provider Identifier
1447577028
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MB09690700 Issued in NJ
Practice address
210 Mounts Corner Dr
Freehold, NJ 07728-2547
Phone
(877) 543-7823
NPI assigned
Apr 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 25MB09690700 NJ Primary

Addresses

Primary practice location

210 Mounts Corner Dr
Freehold, NJ 07728-2547

Mailing address

1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
Phone (877) 532-7837

Other practice location 1

150 Tices Ln
East Brunswick, NJ 08816-2015
Phone (877) 532-7837

Other identifiers 1

IdentifierTypeStateIssuer
0467260MedicaidNJ

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
I20150814013264 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 1355585712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
All Be Healthy LLCGroup PAC ID 1951796622, 94 clinicians

Practice addresses (Care Compare)

150 Tices LN
East Brunswick, NJ 08816-2015
Phone (732) 724-2588

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal475

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
All Be Healthy LLC Pain Medicine CurrentSince Jul 10, 2023 Accepting new patients
All Be Healthy LLC Pain Medicine CurrentSince Jul 10, 2023 Accepting new patients
Coastal Surgery Center, LLC Past Accepting new patients
Umass Memorial Medical Group Inc Past Accepting new patients

Locations

1455 Broad St
Ste 250
Bloomfield, NJ 07003
Phone (201) 817-6982

150A Tices Ln
East Brunswick, NJ 08816
Phone (732) 254-5553

150 Tices Ln
East Brunswick, NJ 08816
Phone (732) 254-5553

2-22 Banta Pl
Fair Lawn, NJ 07410
Phone (201) 509-8600

210 Mounts Corner Dr
Freehold, NJ 07728
Phone (732) 333-6322

300 Perrine Rd
Ste 315
Old Bridge, NJ 08857
Phone (732) 264-8282

765 Route 10
Ste 101
Randolph, NJ 07869
Phone (973) 983-3709

1311 Morris Ave
Union, NJ 07083
Phone (908) 686-8446

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1447577028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BROAD ST STE 250",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033066",
            "telephone_number": "877-532-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MOUNTS CORNER DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282547",
            "telephone_number": "877-543-7823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Tices Ln",
            "address_purpose": "LOCATION",
            "city": "East Brunswick",
            "state": "NJ",
            "postal_code": "088162015",
            "country_code": "US",
            "telephone_number": "877-532-7837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MEHUL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-22",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MB09690700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0467260",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.