Ashish C Shah, MD

Primary specialty

Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X

License

25MA09774800 Issued in NJ

Practice address

3086 State Route 27
Suite 10
Kendall Park, NJ 08824-1658

Phone

(844) 543-5864

Fax

(844) 314-1144

NPI assigned

Feb 5, 2009

Last updated

Dec 13, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashishc.shah@slpg.direct-sluhn.org
• FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

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.

• Saint Peter's Healthcare System Physician Associates

  • General Practice Physician
  • New Brunswick, NJ
  • NPI 1548569361
  Medicare reassignment NPD
• Saint Peter's University Hospital

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1114924834
  Medicare reassignment NPD
• St. Luke's Physician Group, Inc.

  dba South Mountain Family Practice

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment NPD
• Children's Asthma and Lung Specialists LLC

  • Pediatric Pulmonology Physician
  • Kendall Park, NJ
  • NPI 1588110381
  NPD (past) Authorized official
• Saint Peter's University Hospital

  dba Saint Peter's Behavioral Health Group

  • Clinical Psychologist
  • New Brunswick, NJ
  • NPI 1376079590
  NPD
• St Luke's Physician Group Inc

  dba St. Luke's Primary Care Orwigsburg

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1710845144
  NPD
• St. Luke's Physician Group, Inc.

  dba St. Luke's Pediatric Endocrinology

  • Pediatric Endocrinology Physician
  • Center Valley, PA
  • NPI 1194306647
  NPD
• St. Luke's Physician Group, Inc.

  • Maternal & Fetal Medicine Physician
  • Fountain Hill, PA
  • NPI 1003867623
  NPD (past)

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1730328394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3086 STATE ROUTE 27",
            "address_2": "SUITE 10",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241658",
            "telephone_number": "844-543-5864",
            "fax_number": "844-314-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3086 STATE ROUTE 27",
            "address_2": "SUITE 10",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241658",
            "telephone_number": "844-543-5864",
            "fax_number": "844-314-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ASHISH",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-05",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NC",
            "license": "2008-01931",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NJ",
            "license": "25MA09774800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0525278",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabina Sebastian, PHARMACIST
• Joshua Segal, MD
• Rik S Sen, M.D.
• Hawa Sesay
• Amit V Shah
• Jatin Shah, MD
• Payal Shah, PHARMD.
• Ghazala Shaikh, PT
• Shira Sheldon, APN
• Ajfar Sherif, M.D.

• Pediatric Pulmonology Physician in Kendall Park, NJ
• Providers in Kendall Park, NJ by specialty
• Pediatric Pulmonology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.

Verify at the official NPI Registry.