Individual provider Active NPI

Nadia Shah, DPM

  • Podiatrist
  • East Brunswick, NJ
National Provider Identifier
1801282108
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00336800 Issued in NJ
Practice address
172 Summerhill Rd Ste 2
East Brunswick, NJ 08816-4911
Phone
(561) 271-6593
NPI assigned
Apr 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine Podiatrist 213ES0000X 25MD00336800 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00336800 NJ
Foot Surgery Podiatrist 213ES0131X 25MD00336800 NJ
Podiatrist 213E00000X 25MD00336800 NJ Primary
Primary Podiatric Medicine Podiatrist 213EP1101X 25MD00336800 NJ

Addresses

Primary practice location

172 Summerhill Rd Ste 2
East Brunswick, NJ 08816-4911

Mailing address

172 Summerhill Rd Ste 2
East Brunswick, NJ 08816-4911
Phone (732) 944-0200

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171127003131 NJ Practitioner - Podiatry 0547527616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nadia Shah DPM LLCGroup PAC ID 9638436702, 2 clinicians

Practice addresses (Care Compare)

172 Summerhill Rd
Suite 2
East Brunswick, NJ 08816-4911
Phone (732) 944-0200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue130
Removal or shaving of skin growth84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00336800NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nadia.shah@direct.hobokenumc.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1801282108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 SUMMERHILL RD STE 2",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164911",
            "telephone_number": "732-944-0200",
            "fax_number": "732-276-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 SUMMERHILL RD STE 2",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164911",
            "telephone_number": "561-271-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NADIA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NJ",
            "license": "25MD00336800",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00336800",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00336800",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00336800",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00336800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.