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MARGI SHAH OD
NPI 1255954442
Optometrist in Hillsdale, NJ

Active since May 21, 2020PECOS EnrolledAccepts Medicare Assignment
330 BROADWAY STE A, HILLSDALE, NJ 07642(201) 666-8081(201) 666-8082 Get Directions Write a Review

NPPES record last updated: December 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2024, Aug 4, 2020, May 21, 2020 (3 updates tracked since 2020).

About Margi Shah Od NPPES

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

MARGI SHAH OD (NPI 1255954442) is an individual optometrist in Hillsdale, New Jersey, licensed in New Jersey (27OA00696800) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2020).

NPPES Registry Identity

NPI1255954442
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMARGI SHAHCredential: OD
Location Address330 BROADWAY STE AHillsdale, NJ 07642-1438
Mailing Address5 Roosevelt Pl Apt 1lMontclair, NJ 07042-3350 · (848) 391-7760
Phone(201) 666-8081
Fax(201) 666-8082
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2020
Enumeration DateMay 21, 2020
Last NPPES UpdateDecember 8, 20243 updates tracked since enumeration
NPPES CertifiedDecember 8, 2024
✔ NPI 1255954442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NJ · 27OA00696800
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
330 BROADWAY STE A, Hillsdale, NJ 07642
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Margi Shah Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254756000
PECOS Enrollment IDI20200811000176
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGI SHAH OD, LLC
Optometrist
330 BROADWAY STE A
HILLSDALE, NJ 07642
Bergen County (201) 666-8081

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 Margi Shah's NPI number?

The NPI number for Margi Shah is 1255954442. It was assigned to this individual provider in the NPPES registry on May 21, 2020.

Where is Margi Shah located?

Margi Shah practices at 330 Broadway Ste A, Hillsdale, NJ 07642. The listed phone number is (201) 666-8081.

What is Margi Shah's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Margi Shah enrolled in Medicare?

Yes. Margi Shah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Margi Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Providence Health Plan list Margi Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Margi Shah was last updated on December 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.