Active NPIIndividual provider

Jatin Shah, MD

Internal Medicine in Kendall Park, New Jersey

NPI Number1417201567
Practice location
3250 State Route 27 Ste 102, Kendall Park, NJ 08824-1550
Fax
—
Last updated
July 15, 2026

Jatin Shah is an Internal Medicine based in Kendall Park, NJ. Jatin Shah practices in Kendall Park, NJ and has the professional credentials of MD. The NPI Number for Jatin Shah is 1417201567 and holds a License No. 25MA09823100 (NJ). The current practice location address for Jatin Shah is 3250 State Route 27 Ste 102, Kendall Park, NJ 08824-1550 and can be reached out via phone at 732-419-2444.

Provider Profile Details

NPI Number
1417201567
Provider Name
Jatin Shah
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3250 State Route 27 Ste 102, Kendall Park, NJ 08824-1550
Phone Number
732-419-2444
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
October 28, 2012
Last Update Date
July 15, 2026
Certification Date
July 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
3250 State Route 27 Ste 102
Kendall Park, NJ 08824-1550
Zip
08824-1550
Phone Number
732-419-2444
Kendall Park, NJ 08824Get directions →

Provider Business Mailing Address Details

Address
3250 State Route 27 Ste 102
Kendall Park, NJ 08824-1550
City
Kendall Park
State
NJ
Zip
08824-1550

License Information

License Number
25MA09823100
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · 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 Jatin Shah, MD?

The NPI number of Jatin Shah, MD is 1417201567. It was assigned on October 28, 2012 and is currently active in the NPPES registry.

What is the specialty of Jatin Shah, MD?

Jatin Shah, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA09823100.

Where does Jatin Shah, MD practice?

The practice location is 3250 State Route 27 Ste 102, Kendall Park, NJ 08824-1550. The office can be reached at 732-419-2444 (phone).

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 1417201567 directly on the NPPES registry website.

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