NPIMap

Organization Active NPI

Pradip S. Shah, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • West Caldwell, NJ
National Provider Identifier
1558557124
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MA062084 Issued in NJ
Legal business name
PRADIP S. SHAH, M.D.
Practice address
459 Passaic Ave
Oak Health Center - Crane's Mill
West Caldwell, NJ 07006-7457
Phone
(973) 276-3026
Fax
(973) 276-7881
NPI assigned
Sep 18, 2007
Last updated
May 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Pradip S Shah, M.D.NPI 1326059320
Title
Chairman/President
Phone
(973) 276-3026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MA062084 NJ Primary

Addresses

Primary practice location

459 Passaic Ave
Oak Health Center - Crane's Mill
West Caldwell, NJ 07006-7457

Mailing address

10 Dartmouth CT
Livingston, NJ 07039-1516
Phone (973) 716-0052

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1558557124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DARTMOUTH CT",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391516",
            "telephone_number": "973-716-0052",
            "fax_number": "862-702-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 PASSAIC AVE",
            "address_2": "OAK HEALTH CENTER - CRANE'S MILL",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067457",
            "telephone_number": "973-276-3026",
            "fax_number": "973-276-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRADIP S. SHAH, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PRADIP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHAIRMAN/PRESIDENT",
        "authorized_official_telephone_number": "973-276-3026",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MA062084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.