Individual provider Active NPI

Harish H Shah, MD

  • Hematology & Oncology Physician
  • Wayne, NJ
National Provider Identifier
1619952181
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MA34100 Issued in NJ
Practice address
468 Parish Dr
Suite 4
Wayne, NJ 07470-4671
Phone
(973) 694-5005
Fax
(973) 694-5990
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MA34100 NJ Primary

Addresses

Primary practice location

468 Parish Dr
Suite 4
Wayne, NJ 07470-4671

Mailing address

468 Parish Dr
Suite 4
Wayne, NJ 07470-4671
Phone (973) 694-5005

Other identifiers 1

IdentifierTypeStateIssuer
0541001MedicaidNJ

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
I20050616000050 NJ Practitioner - Hematology/OncologyPractitioner - Hematology 0840234282

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA34100NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Hematology Oncology Associates P C Hematology & Oncology CurrentSince Jan 1, 1989 Accepting new patients

Locations

468 Parish Dr
Ste 4
Wayne, NJ 07470
Phone (973) 694-5005

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.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1619952181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 PARISH DR",
            "address_2": "SUITE 4",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704671",
            "telephone_number": "973-694-5005",
            "fax_number": "973-694-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 PARISH DR",
            "address_2": "SUITE 4",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704671",
            "telephone_number": "973-694-5005",
            "fax_number": "973-694-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HARISH",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "MA34100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0541001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.