Essex Plaza Medical Associates PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA45456 Issued in NJ

Legal business name

ESSEX PLAZA MEDICAL ASSOCIATES PA

Practice address

1060 Broad St
Newark, NJ 07102-2397

Phone

(973) 642-0280

Fax

(973) 642-0047

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Sandhya R ShahNPI 1770513376

Title

President

Phone

(973) 642-0280

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandhya R Shah, MD

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1770513376
  Medicare reassignment NPD Authorized official
• Amol R Shah, MD

  • Gastroenterology Physician
  • Newark, NJ
  • NPI 1912347030
  NPD (past)
• Rajan S Shah, MD

  • Gastroenterology Physician
  • Newark, NJ
  • NPI 1356378434

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1740475854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 FALCON RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394427",
            "telephone_number": "973-642-0280",
            "fax_number": "973-642-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022397",
            "telephone_number": "973-642-0280",
            "fax_number": "973-642-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX PLAZA MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SANDHYA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-642-0280"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA45456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1148001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Essex Ironbound Anesthesiologist, LLC
• Essex Kidney Group, LLC
• Essex Medical and Nephrology Associates, PA
• Essex Pediatrics & Associates PC
• Essex Physicians Group, LLC
• Essex Psychiatric Center for Children & Adults LLC
• Essex Valley Visiting Nurse Association
• Angela Essien
• Jossy Estevez
• Martin Estok, MD

• Internal Medicine Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.