Active NPI
Shah Medical Associates, LLC
- Hospitalist Physician
- Skillman, NJ
National Provider Identifier
1639430754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 25MA08309300
- Legal business name
- SHAH MEDICAL ASSOCIATES, LLC
- Practice address
- 1330 Route 206
Suite 130-330
Skillman, NJ 08558-1921 - Phone
- (732) 305-0444
- NPI assigned
- Jun 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Manish A Shah, M.D
- Title
- M.D
- Phone
- (732) 305-0444
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 25MA08309300 | NJ | Primary |
Addresses
Primary practice location
1330 Route 206
Suite 130-330
Skillman, NJ 08558-1921
Mailing address
1330 Route 206
Suite 130-330
Skillman, NJ 08558-1921
Phone (732) 305-0444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1378 Route 206
Ste 6330
Skillman, NJ 08558
Phone (732) 305-0444
1330 Route 206
Ste 130330
Skillman, NJ 08558
Phone (732) 305-0444
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- NPI 1912126103
-
- Nephrology Physician
- Brick, NJ
- NPI 1013213206
-
- Nephrology Physician
- Brick, NJ
- NPI 1598144578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461628800000",
"number": "1639430754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 ROUTE 206",
"address_2": "SUITE 130-330",
"city": "SKILLMAN",
"state": "NJ",
"postal_code": "085581921",
"telephone_number": "732-305-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 ROUTE 206",
"address_2": "SUITE 130-330",
"city": "SKILLMAN",
"state": "NJ",
"postal_code": "085581921",
"telephone_number": "732-305-0444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAH MEDICAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-05",
"last_updated": "2016-04-26",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "MANISH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "M.D",
"authorized_official_telephone_number": "732-305-0444",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "NJ",
"license": "25MA08309300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skillman, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.