Active NPI
Manan Shah, MD
- Neonatal-Perinatal Medicine Physician
- New Brunswick, NJ
National Provider Identifier
1629456629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 25MA11044100
- Practice address
- 1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928 - Phone
- (732) 828-3000
- NPI assigned
- May 11, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | CT | ||
| Pediatrics Physician | 208000000X | 25MA11044100 | NJ | |
| Pediatrics Physician | 208000000X | 35.133449 | OH | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 25MA11044100 | NJ | Primary |
Addresses
Primary practice location
1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928
Mailing address
1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11044100 | NJ | MD | Pediatrics Physician |
| 35.133449 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| Community Medical Center Inc | Past | Accepting new patients | |
| Robert Wood Johnson University Hospital, Inc | Past | Accepting new patients |
Locations
125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
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.
-
- Family Medicine Physician
- New Brunswick, NJ
- NPI 1780766527
-
- Anesthesiology Physician
- New Brunswick, NJ
- NPI 1861414989
-
- General Acute Care Hospital
- Toms River, NJ
- NPI 1013010917
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1629456629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ROBERT WOOD JOHNSON PL",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ROBERT WOOD JOHNSON PL",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011928",
"telephone_number": "732-828-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "MANAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-11",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA11044100",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.133449",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NJ",
"license": "25MA11044100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.