Individual provider Active NPI

Shahenaz Halani, PA

  • Physician Assistant
  • Metuchen, NJ
National Provider Identifier
1801374707
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00485700 Issued in NJ
Practice address
18 Mark Cir
Metuchen, NJ 08840-1521
Phone
(732) 261-5575
NPI assigned
Aug 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00485700 NJ Primary

Addresses

Primary practice location

18 Mark Cir
Metuchen, NJ 08840-1521

Mailing address

18 N 3Rd Ave
Highland Park, NJ 08904-2408
Phone (732) 545-0094

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251212003631 NJ Practitioner - Physician Assistant 0648764977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18 N 3Rd Ave
Highland Park, NJ 08904-2408

222 Schanck Rd
Suite 203
Freehold, NJ 07728-2974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00485700NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sudhir M Parikh M D P a Physician Assistant CurrentSince Oct 1, 2025 Accepting new patients

Locations

18 N 3rd Ave
Highland Park, NJ 08904
Phone (732) 545-0094

546 Westfield Ave
Westfield, NJ 07090
Phone (908) 232-1565

Organizations & group practices 1

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": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1801374707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N 3RD AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042408",
            "telephone_number": "732-545-0094",
            "fax_number": "732-545-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MARK CIR",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401521",
            "telephone_number": "732-261-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALANI",
        "first_name": "SHAHENAZ",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00485700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

Verify at the official NPI Registry.