NPIMap

Individual provider Active NPI

Nirav N Shah, DO

  • Pulmonary Disease Physician
  • Freehold, NJ
National Provider Identifier
1720299340
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MB08017800 Issued in NJ
Practice address
901 W Main St
Suite 160, CN 5050
Freehold, NJ 07728-2537
Phone
(732) 577-0600
Fax
(732) 577-6332
NPI assigned
May 25, 2007
Last updated
Apr 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 25MB08017800 NJ Primary

Addresses

Primary practice location

901 W Main St
Suite 160, CN 5050
Freehold, NJ 07728-2537

Mailing address

901 W Main St
Suite 160, CN 5050
Freehold, NJ 07728-2537
Phone (732) 577-0600

Other identifiers 5

IdentifierTypeStateIssuer
6932758OtherNJAETNA HEALTH PLANS HMO
P00801247OtherNJMEDICARE RAILROAD CARRIER
0157481MedicaidNJ
P00746572OtherNJRR MEDICARE
9958326OtherNJAETNA HEALTH PLANS PPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080415000037 NJ Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 0446337521 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

901 W Main St
Freehold, NJ 07728-2537

902 W Main St
Atlantic Medical Group
Freehold, NJ 07728-2508
Phone (732) 431-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08017800NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group CurrentSince Jan 3, 2022 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Pulmonary Disease CurrentSince Dec 1, 2020 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Dec 1, 2020 Accepting new patients

Locations

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

901 W Main St
Ste 160
Freehold, NJ 07728
Phone (732) 577-0060

21 US Highway 9
Manalapan, NJ 07726
Phone (732) 358-4490

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536

253 Witherspoon St
Princeton, NJ 08540
Phone (609) 497-4000

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

Interoperability endpoints

  • Direct secure messaging: nshah425466@direct.ahsys.org
  • Direct secure messaging: niravshah@mopm.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1720299340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "address_2": "SUITE 160, CN 5050",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-577-0600",
            "fax_number": "732-577-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "address_2": "SUITE 160, CN 5050",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-577-0600",
            "fax_number": "732-577-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIRAV",
        "middle_name": "N",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MB08017800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLANS HMO",
            "identifier": "6932758",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "P00801247",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157481",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00746572",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLANS PPO",
            "identifier": "9958326",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.