Organization Active NPI

Shah Medical Associates, LLC

  • Hospitalist Physician
  • Skillman, NJ
National Provider Identifier
1639430754
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
25MA08309300 Issued in NJ
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

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Dr. Manish A Shah, M.DNPI 1669670071
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)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20121129000352 NJ Part B Supplier - Clinic/Group Practice 8123270006 Receives reassigned benefits from 6 practitioners
Practice locations: New Brunswick, NJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.