Individual provider Active NPI

Nishant Kishor Shah, MD

  • Radiation Oncology Physician
  • Flemington, NJ
National Provider Identifier
1487141065
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
25MA11777300 Issued in NJ
Practice address
2100 Wescott Dr
Flemington, NJ 08822-4603
Phone
(908) 495-6325
Fax
(908) 788-6106
NPI assigned
Apr 18, 2018
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT215574 PA
Radiation Oncology Physician 2085R0001X MD473453 PA
Radiation Oncology Physician 2085R0001X 25MA11777300 NJ Primary

Addresses

Primary practice location

2100 Wescott Dr
Flemington, NJ 08822-4603

Mailing address

629 Cranbury Rd FL 2
East Brunswick, NJ 08816-4096
Phone (732) 390-7750

Other practice location 1

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Phone (215) 607-6989

Other practice location 2

215 Easton Ave
New Brunswick, NJ 08901-1722
Phone (732) 724-1739

Other practice location 3

254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 724-1739

Other practice location 4

3400 Spruce St
Philadelphia, PA 19104
Phone (215) 662-2200

Other practice location 5

9 Centre Dr Ste 115
Monroe Township, NJ 08831-5153
Phone (732) 724-1739

Other identifiers 2

IdentifierTypeStateIssuer
15838318OtherNJCAQH ID
0911381MedicaidNJ

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
I20230602000218 PA Practitioner - Radiation Oncology 2062760473 Reassigns benefits to 1 organization
I20230602001481 NJ Practitioner - Radiation Oncology 2062760473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Boston University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Procure Management, LLCGroup PAC ID 4385806785, 15 clinicians
Titan Health Partners LLCGroup PAC ID 3971915349, 98 clinicians

Practice addresses (Care Compare)

103 Cedar Grove LN
Somerset, NJ 08873-4717
Phone (732) 357-2600

1200 US Hwy 22 E
3Rd FL
Bridgewater, NJ 08807-2943
Phone (732) 724-1739

254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 724-1739

620 Cranbury Rd
East Brunswick, NJ 08816-4000
Phone (732) 390-7750

75 Veronica Ave
Suite 201
Somerset, NJ 08873-5002
Phone (732) 390-7750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT215574PAMDInternal Medicine Physician
MD473453PAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Titan Health Partners LLC CurrentSince Jul 1, 2023 Accepting new patients
Princeton Procure Management, LLC Radiation Oncology CurrentSince Oct 18, 2023 Accepting new patients
Titan Health Partners LLC Radiation Oncology CurrentSince Jul 1, 2023 Accepting new patients
Hunterdon Hematology Oncology, LLC Past Accepting new patients
Titan Health Partners LLC Past Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

629 Cranbury Rd
#2
East Brunswick, NJ 08816
Phone (732) 390-7550

34-36 Progress St
Ste B
Edison, NJ 08820

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

9 Centre Dr
Ste 115
Monroe Twp, NJ 08831
Phone (609) 655-5755

215 Easton Ave
New Brunswick, NJ 08901
Phone (732) 545-0400

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

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

103 Cedar Grove Ln
Somerset, NJ 08873
Phone (732) 357-2600

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

Interoperability endpoints

  • Direct secure messaging: nshah2909970@direct.trinity-health.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1487141065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 CRANBURY RD FL 2",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164096",
            "telephone_number": "732-390-7750",
            "fax_number": "732-390-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WESCOTT DR",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224603",
            "telephone_number": "908-495-6325",
            "fax_number": "908-788-6106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Langhorne Newtown Rd",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471201",
            "country_code": "US",
            "telephone_number": "215-607-6989",
            "fax_number": "215-710-6789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Easton Ave",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "089011722",
            "country_code": "US",
            "telephone_number": "732-724-1739",
            "fax_number": "609-395-7955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "254 Easton Ave",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "089011766",
            "country_code": "US",
            "telephone_number": "732-724-1739",
            "fax_number": "609-395-7955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19104",
            "country_code": "US",
            "telephone_number": "215-662-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Centre Dr Ste 115",
            "address_purpose": "LOCATION",
            "city": "Monroe Township",
            "state": "NJ",
            "postal_code": "088315153",
            "country_code": "US",
            "telephone_number": "732-724-1739",
            "fax_number": "609-395-7955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NISHANT",
        "middle_name": "KISHOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-18",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT215574",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD473453",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MA11777300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "15838318",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0911381",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.