Mehul N Shah MD PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

25MA04839600 Issued in NJ

Legal business name

MEHUL N SHAH MD PA

Practice address

90 Farbrook Dr
Short Hills, NJ 07078-3007

Phone

(973) 376-2121

Fax

(973) 467-0150

NPI assigned

Nov 9, 2007

Last updated

Nov 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mehul N Shah, M.D.NPI 1427119247

Title

M.D.

Phone

(973) 376-2121

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

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.

• Mehul N Shah, MD

  • Gastroenterology Physician
  • Millburn, NJ
  • NPI 1427119247
  Medicare reassignment Authorized official
• Shail Sheth, MD

  • Gastroenterology Physician
  • Terre Haute, IN
  • NPI 1538578018

  NJ

  Medicare reassignment
• Yatinder Bains, M.D.

  • Gastroenterology Physician
  • Millburn, NJ
  • NPI 1205908118
  NPD
• Katie Baumgardt

  • Adult Health Nurse Practitioner
  • Belleville, NJ
  • NPI 1134041544
  NPD (past)
• George Kihiczak, M.D.

  • Procedural Dermatology Physician
  • Millburn, NJ
  • NPI 1376696997
  NPD (past)

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1639359300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MILLBURN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411943",
            "telephone_number": "973-376-2121",
            "fax_number": "973-467-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 FARBROOK DR",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070783007",
            "telephone_number": "973-376-2121",
            "fax_number": "973-467-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHUL N SHAH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MEHUL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "973-376-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04839600",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA04839600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4590007",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcia D. Lite-Braus, LPC, LLC
• Marsha Optical Corp (Ganny Russ Opticians)
• Alyssa Brooke Matthews, PT, DPT
• Sweeti Mehra, M.D.
• Ruby Mehta, LCSW
• Carl M. Mendel, M.D.
• Mental Health Specialty Group NJ, PC (Rula Health)
• Jessica Fara Merker-Levy, DPM
• Brenda Ann Merritt, M.D.
• Michael Grant Messing, D.D.S.

• Gastroenterology Physician in Short Hills, NJ
• Providers in Short Hills, NJ by specialty
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.