Shah Primary Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SHAH PRIMARY CARE

Practice address

1680 Rte 23 Ste 160
Wayne, NJ 07470-7512

Phone

(973) 221-2500

NPI assigned

Aug 12, 2021

Last updated

Aug 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shipra ShahNPI 1154689156

Title

Owner

Phone

(973) 221-2500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shipra Shah, M.D.

  • Internal Medicine Physician
  • Wayne, NJ
  • NPI 1154689156
  Medicare reassignment NPD Authorized official
• Deepa Rajiv, MD

  • Internal Medicine Physician
  • East Orange, NJ
  • NPI 1891808390
  Medicare reassignment NPD
• Shih Hua Fu

  • Physician Assistant
  • Maplewood, NJ
  • NPI 1821818196
  Medicare reassignment
• Priya Patel

  • Physician Assistant
  • Wayne, NJ
  • NPI 1750127312
  Medicare reassignment
• Sabreena Moose, PA-C

  • Adult Medicine Physician
  • Wayne, NJ
  • NPI 1538090576
  NPD

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1750056644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 RTE 23 STE 160",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707512",
            "telephone_number": "973-221-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 RTE 23 STE 160",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707512",
            "telephone_number": "973-221-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHIPRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-221-2500"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond A Seugling Jr., D.C.
• Ramy Seyam, OD
• Shaanti Dhaam LLC
• Paige Logan Shafer
• Luba Shagawat, LCSW
• Harish H Shah, MD
• Jwani Shah
• Priti Sanghvi Shah, OT
• Sanjay R Shah, MD. MBBS
• Shipra Shah, M.D.

• Internal Medicine Physician in Wayne, NJ
• Providers in Wayne, 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 Aug 16, 2021; 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.