Shaili Niranjan Shah, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

25MA09884200 Issued in NJ

Practice address

24 Vreeland Dr
Ste 1
Skillman, NJ 08558-2621

Phone

(609) 921-2202

Fax

(609) 924-1468

NPI assigned

May 26, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

Allergy/Immunology

Education

University of North Carolina at Chapel Hill School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Princeton Allergy and Asthma Associates, PAGroup PAC ID 3971402314, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Princeton Allergy & Asthma Associates, PA

  • Allergy & Immunology Physician
  • Skillman, NJ
  • NPI 1477641660
  Medicare reassignment Care Compare group NPD
• Princeton Center for Clinical Research

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Skillman, NJ
  • NPI 1093086456
  NPD (past)

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1730408048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 VREELAND DR",
            "address_2": "STE 1",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582621",
            "telephone_number": "609-921-2202",
            "fax_number": "609-924-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 VREELAND DR",
            "address_2": "STE 1",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582621",
            "telephone_number": "609-921-2202",
            "fax_number": "609-924-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHAILI",
        "middle_name": "NIRANJAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA09884200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safe Therapy, Inc.
• Saker Shoprites Inc (Shoprite Pharmacy #617)
• Samantha Denise Sanchez, LSW
• Jacqueline Schreiber, MSW
• Shah Medical Associates, LLC
• Vrunda Shankar, COTA
• Catherine Shapiro, LAC
• Yitzhak Shnaps, MD
• Jodie Renee Shuster
• Kristen M Sikorski, MD

• Allergy & Immunology Physician in Skillman, NJ
• Providers in Skillman, NJ by specialty
• Allergy & Immunology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.