Amol R Shah, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

25MA10400300 Issued in NJ

Practice address

1060 Broad St Ste 2a
Newark, NJ 07102-2321

Phone

(973) 642-3155

Fax

(973) 642-0047

NPI assigned

Jul 3, 2013

Last updated

Aug 5, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Internal Medicine

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002

Merit-based Incentive Payment System (MIPS)

Final score

95.64 of 100Reported as individual

Quality

81.67

Improvement activities

40

Cost

76.57

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Essex Digestive Healthcare PC

  • Gastroenterology Physician
  • Maplewood, NJ
  • NPI 1033889589
  Medicare reassignment NPD Authorized official
• Essex Plaza Medical Associates PA

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1740475854
  NPD (past)
• Rajan Shah MD PA

  • Gastroenterology Physician
  • Newark, NJ
  • NPI 1265627376
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Newark Beth Israel Medical Center Inc

  dba Newark Beth Israel Medical Center

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215027966
  Care Compare affiliation

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1912347030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BUCHANON CT",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521126",
            "telephone_number": "973-642-3155",
            "fax_number": "973-642-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 BROAD ST STE 2A",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022321",
            "telephone_number": "973-642-3155",
            "fax_number": "973-642-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "AMOL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-03",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA10400300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Elizabeth Shabo, M.D.
• Mabad Shacker
• Kyyania Shaddad, CERTIFIED DOULA
• Jasmine Shafei, MD
• Ami Shah, PHARMD.
• Anand Sandeep Shah, MBBS
• Aniqa Salma Shah, MD
• Ankit Suresh Shah, M.D.
• Bhavinkumar Shah
• Bhumiben Shah, PA-C

• Gastroenterology Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.