Active NPIOrganization

Rajan Shah MD PA

Internal Medicine, Gastroenterology in Newark, New Jersey

NPI Number1265627376
Practice location
1060 Broad St, Newark, NJ 07102-2397
Fax
973-642-0047
Last updated
September 11, 2007

Rajan Shah MD PA is a healthcare organization based in Newark, NJ. Rajan Shah MD PA practices in Newark, NJ. The NPI Number for Rajan Shah MD PA is 1265627376 and holds a License No. MA40413 (NJ). The current practice location address for Rajan Shah MD PA is 1060 Broad St, Newark, NJ 07102-2397 and can be reached out via phone at 973-642-0280 and via fax at 973-642-0047.

Provider Profile Details

NPI Number
1265627376
Provider Name
Rajan Shah MD PA
Provider Entity Type
Organization
Address
1060 Broad St, Newark, NJ 07102-2397
Phone Number
973-642-0280
Fax Number
973-642-0047
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Organization Subpart
No
Authorized Official
Rajan S Shah, MD · President · 973-642-0280
Provider Enumeration Date
September 11, 2007
Last Update Date
September 11, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1060 Broad St
Newark, NJ 07102-2397
City
Newark
Zip
07102-2397
Phone Number
973-642-0280
Fax Number
973-642-0047
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
95 Falcon RD
Livingston, NJ 07039-4427
City
Livingston
State
NJ
Zip
07039-4427
Phone Number
973-642-0280
Fax Number
973-642-0047

License Information

License Number
MA40413
License State
NJ
Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rajan Shah MD PA?

The NPI number of Rajan Shah MD PA is 1265627376. It was assigned on September 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Rajan Shah MD PA?

Rajan Shah MD PA is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number MA40413.

Where does Rajan Shah MD PA practice?

The practice location is 1060 Broad St, Newark, NJ 07102-2397. The office can be reached at 973-642-0280 (phone) or 973-642-0047 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265627376 directly on the NPPES registry website.

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