Individual provider Active NPI

Vrinda B Shah

  • Pediatrics Physician
  • Freehold, NJ
National Provider Identifier
1922264795
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA067025 Issued in NJ
Practice address
1000 W Main St
Suite 5
Freehold, NJ 07728-2521
Phone
(732) 866-9300
Fax
(732) 866-9747
NPI assigned
Jul 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA067025 NJ Primary

Addresses

Primary practice location

1000 W Main St
Suite 5
Freehold, NJ 07728-2521

Mailing address

1000 W Main St
Suite 5
Freehold, NJ 07728-2521
Phone (732) 866-9300

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210211000239 NJ Practitioner - Pediatric Medicine 3870908536 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA067025NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heal and Care Pediatrics, PA Pediatrics Current Accepting new patients
Advocare , LLC CurrentSince Mar 1, 2021 Accepting new patients
Advocare, LLC Pediatrics CurrentSince Mar 1, 2021 Accepting new patients
Advocare, LLC Pediatrics Past Accepting new patients
Advocare , LLC Pediatrics PastSince Dec 27, 2020 Accepting new patients

Locations

1000 W Main St
Ste 5
Freehold, NJ 07728
Phone (732) 780-1122

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

Interoperability endpoints

  • Direct secure messaging: vshah425469@direct.ahsys.org
  • Direct secure messaging: vrinda.shah@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 5

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": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1922264795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W MAIN ST",
            "address_2": "SUITE 5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282521",
            "telephone_number": "732-866-9300",
            "fax_number": "732-866-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W MAIN ST",
            "address_2": "SUITE 5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282521",
            "telephone_number": "732-866-9300",
            "fax_number": "732-866-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VRINDA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA067025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.