Hena Shah

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00834400 Issued in NJ

Practice address

2103 NJ-35
Holmdel, NJ 07733

Phone

(732) 444-7760

NPI assigned

Mar 28, 2024

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

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Medical Professionals LLCGroup PAC ID 6103882725, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10045835

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.

• University Medical Professionals LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Elizabeth, NJ
  • NPI 1346304664
  Medicare reassignment Care Compare group
• Hudson MD Group

  • Family Medicine Physician
  • Englewood Cliffs, NJ
  • NPI 1497301998
  NPD (past)
• Morris Avenue Medical Center PC

  • Cardiovascular Disease Physician
  • Union, NJ
  • NPI 1134369200
  NPD (past)

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

• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Old Bridge, NJ
  • NPI 1356828172
  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Perth Amboy, NJ
  • NPI 1790297455
  Care Compare affiliation

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1922859958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 TYLER AVE",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 NJ-35",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "07733",
            "telephone_number": "732-444-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00834400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Ann Serini, D.M.D
• Dominick A. Serini, D.M.D
• Jacqueline Serritella, PMHNP-BC, APN
• Asha R Shah
• Dipika T Shah, DDS, MAGD
• Niranjan Shah, M.D.
• Shruti A Shah, MD
• Ursula Pankaj Shah, OTR
• Asma Shaikh
• Shamra Medical Laboratory Limited Liability Company

• Physician Assistant in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.