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ESSEX DIGESTIVE HEALTHCARE PC
NPI 1033889589
Internal Medicine - Gastroenterology in Maplewood, NJ

Active since September 16, 2021
2060 MILLBURN AVE, MAPLEWOOD, NJ 07040(973) 642-3155(973) 642-0047 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 15, 2023, Sep 16, 2021 (2 updates tracked since 2021).

About Essex Digestive Healthcare Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESSEX DIGESTIVE HEALTHCARE PC (NPI 1033889589) is a healthcare organization registered as a gastroenterology in Maplewood, New Jersey and active in the NPI registry since September 2021. The organization maintains a secondary practice location in Newark and lists Amol Shah, Owner, as its authorized official.

NPPES Registry Identity

NPI1033889589
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameESSEX DIGESTIVE HEALTHCARE PC
Location Address2060 MILLBURN AVEMaplewood, NJ 07040-3713
Mailing Address92 W Mcclellan AveLivingston, NJ 07039-1245 · (973) 642-3155 · Fax (973) 642-0047
Phone(973) 642-3155
Fax(973) 642-0047
Organization SubpartNo
Authorized OfficialAmol ShahOwner · (973) 634-2184
Enumeration DateSeptember 16, 2021
Last NPPES UpdateJune 15, 20232 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
✔ NPI 1033889589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2060 MILLBURN AVE, Maplewood, NJ 07040
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Secondary Practice Location 1

Location 11060 Broad St Ste 2ANewark, NJ 07102-2321 · Phone (973) 642-3155 · Fax (973) 642-0047

Other Identifiers 1

Medicaid1912347030NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Essex Digestive Healthcare Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20211015001537Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Essex Digestive Healthcare PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amol Shah, MD
Internal Medicine
NPI 1912347030
1060 BROAD ST STE 2A
Newark, NJ 07102
(973) 642-3155
✔ PECOS✔ Accepts Medicare5.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Essex Digestive Healthcare PC's NPI number?

The NPI number for Essex Digestive Healthcare PC is 1033889589. It was assigned to this organization in the NPPES registry on September 16, 2021.

Where is Essex Digestive Healthcare PC located?

Essex Digestive Healthcare PC is located at 2060 Millburn Ave, Maplewood, NJ 07040. The listed phone number is (973) 642-3155.

What is Essex Digestive Healthcare PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Essex Digestive Healthcare PC enrolled in Medicare?

Yes. Essex Digestive Healthcare PC is registered in the Medicare PECOS enrollment system.

When is Essex Digestive Healthcare PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Essex Digestive Healthcare PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Essex Digestive Healthcare PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Essex Digestive Healthcare PC was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.