Amol R Shah, MD
Internal Medicine, Gastroenterology in Newark, New Jersey
1912347030- Practice location
- 1060 Broad St Ste 2A, Newark, NJ 07102-2321
- Phone
- 973-642-3155
- Fax
- 973-642-0047
- Last updated
- August 5, 2020
Amol R Shah is an Internal Medicine, Gastroenterology based in Newark, NJ. Amol R Shah practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Amol R Shah is 1912347030 and holds a License No. 25MA10400300 (NJ). The current practice location address for Amol R Shah is 1060 Broad St Ste 2A, Newark, NJ 07102-2321 and can be reached out via phone at 973-642-3155 and via fax at 973-642-0047.
Provider Profile Details
- NPI Number
- 1912347030
- Provider Name
- Amol R Shah
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1060 Broad St Ste 2A, Newark, NJ 07102-2321
- Phone Number
- 973-642-3155
- Fax Number
- 973-642-0047
- Primary Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 3, 2013
- Last Update Date
- August 5, 2020
- Certification Date
- August 5, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1060 Broad St Ste 2A
Newark, NJ 07102-2321 - City
- Newark
- State
- New Jersey
- Zip
- 07102-2321
- Phone Number
- 973-642-3155
- Fax Number
- 973-642-0047
Provider Business Mailing Address Details
- Address
- 18 Buchanon CT
West Orange, NJ 07052-1126 - City
- West Orange
- State
- NJ
- Zip
- 07052-1126
- Phone Number
- 973-642-3155
- Fax Number
- 973-642-0047
License Information
- License Number
- 25MA10400300
- License State
- NJ
- Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Gastroenterology providers near Newark, NJ
View all Internal Medicine, Gastroenterology providers in Newark →- Dr. Andre A Fedida, MDInternal Medicine, Gastroenterology · NPI 1891839312
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- Dr. Mohamad Aghaie Meybodi, MDInternal Medicine, Gastroenterology · NPI 1134757271
- Dr. Siddharth Verma, DO, JDInternal Medicine, Gastroenterology · NPI 1285892463
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Frequently Asked Questions
What is the NPI number of Amol R Shah, MD?
The NPI number of Amol R Shah, MD is 1912347030. It was assigned on July 3, 2013 and is currently active in the NPPES registry.
What is the specialty of Amol R Shah, MD?
Amol R Shah, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number 25MA10400300.
Where does Amol R Shah, MD practice?
The practice location is 1060 Broad St Ste 2A, Newark, NJ 07102-2321. The office can be reached at 973-642-3155 (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 1912347030 directly on the NPPES registry website.