Active NPIIndividual provider

Dr. Madhavi Shah, MD

Pediatrics, Adolescent Medicine in Bloomfield, New Jersey

NPI Number1316059033
Practice location
199 Broad Street, Suite 1B, Bloomfield, NJ 07003
Fax
973-743-3707
Last updated
September 11, 2025

Madhavi Shah is a Pediatrics, Adolescent Medicine based in Bloomfield, NJ. Madhavi Shah practices in Bloomfield, NJ and has the professional credentials of MD. The NPI Number for Madhavi Shah is 1316059033 and holds a License No. MA041063 (NJ). The current practice location address for Madhavi Shah is 199 Broad Street, Suite 1B, Bloomfield, NJ 07003 and can be reached out via phone at 973-743-1392 and via fax at 973-743-3707.

Provider Profile Details

NPI Number
1316059033
Provider Name
Madhavi Shah
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
199 Broad Street, Suite 1B, Bloomfield, NJ 07003
Phone Number
973-743-1392
Fax Number
973-743-3707
Primary Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2006
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
199 Broad Street
Suite 1B
Bloomfield, NJ 07003
Zip
07003
Phone Number
973-743-1392
Fax Number
973-743-3707
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
199 Broad Street
Suite 1B
Bloomfield, NJ 07003
City
Bloomfield
State
NJ
Zip
07003
Phone Number
973-743-1392
Fax Number
973-743-3707

License Information

License Number (1)
MA041063
License State (1)
NJ
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
MAO41063
License State (2)
NJ
Taxonomy (2)
Pediatrics, Adolescent Medicine · 2080A0000X · 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 Dr. Madhavi Shah, MD?

The NPI number of Dr. Madhavi Shah, MD is 1316059033. It was assigned on August 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Madhavi Shah, MD?

Dr. Madhavi Shah, MD is registered under the primary taxonomy Pediatrics, Adolescent Medicine (code 2080A0000X), licensed in NJ under license number MA041063.

Where does Dr. Madhavi Shah, MD practice?

The practice location is 199 Broad Street, Suite 1B, Bloomfield, NJ 07003. The office can be reached at 973-743-1392 (phone) or 973-743-3707 (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 1316059033 directly on the NPPES registry website.

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