Shailaja K. Shah, MD

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

25MA071269 Issued in NJ

Practice address

407 Omni Dr
Hillsborough, NJ 08844-4527

Phone

(732) 689-3832

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Psychiatry

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HMH Carrier Behavioral Health IncGroup PAC ID 9234043464, 41 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.

• Behavioral Healthcare Consultants LLC

  • Geriatric Psychiatry Physician
  • Hillsborough, NJ
  • NPI 1841620911
  Medicare reassignment NPD Authorized official
• HMH Carrier Behavioral Health Inc

  • Psychiatric Hospital
  • Belle Mead, NJ
  • NPI 1225039399
  Medicare reassignment Care Compare group NPD
• East Mountain Hospital Inc

  • Psychiatric Hospital
  • Belle Mead, NJ
  • NPI 1184626152
  NPD (past)
• East Mountain Hospital, Inc.

  • Psychiatry Physician
  • Belle Mead, NJ
  • NPI 1437366127
  NPD (past)
• Rutgers Health - Behavioral Health

  • Psychiatry Physician
  • Piscataway, NJ
  • NPI 1144267337
  NPD (past)
• Rutgers Health - Behavioral Health

  • Psychiatry Physician
  • Cherry Hill, NJ
  • NPI 1891956298
  NPD (past)
• Rutgers Health-RWJ Scleroderma Program

  • Psychiatry Physician
  • Piscataway, NJ
  • NPI 1033207378
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1750464491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 OMNI DRIVE,",
            "address_2": "407 OMNI DRIVE",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "08844",
            "telephone_number": "732-689-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 OMNI DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444527",
            "telephone_number": "732-689-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHAILAJA",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NJ",
            "license": "25MA071269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8489602",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY MEDICAID PROVIDER",
            "identifier": "0023701",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY MEDICARE NUMBER",
            "identifier": "527486",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Agnya Shah, RD
• Charul H Shah
• Joanne Shah, RPH
• Nidhi Shah, PT MS
• Prutha Shah
• Tamkeen Tariq Shaikh, PHYSICIAN ASSISTANT
• Jerry Sheen
• Glenn Sherman, O.D.
• Bhairavi Sheth, D.M.D.
• Shi-II Hillsborough, LLC

• Geriatric Psychiatry Physician in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Geriatric Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.