DR. MADHAVI SHAH MD
NPI 1316059033
Pediatrics - Adolescent Medicine in Bloomfield, NJ

Q: What is Madhavi Shah's NPI number?

The NPI number for Madhavi Shah is 1316059033. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Madhavi Shah's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Madhavi Shah was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 31, 2006

199 BROAD STREET, SUITE 1B, BLOOMFIELD, NJ 07003(973) 743-1392(973) 743-3707 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Madhavi Shah Md NPPES

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

DR. MADHAVI SHAH MD (NPI 1316059033) is an individual adolescent medicine provider in Bloomfield, New Jersey, licensed in New Jersey (MAO41063) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1316059033

Entity TypeIndividualFemale

Primary Taxonomy2080A0000X

Provider Legal NameDR. MADHAVI SHAHCredential: MD

Location Address199 BROAD STREET, SUITE 1BBloomfield, NJ 07003

Mailing Address199 Broad Street, Suite 1bBloomfield, NJ 07003 · (973) 743-1392 · Fax (973) 743-3707

Phone(973) 743-1392

Fax(973) 743-3707

Sole ProprietorNo

Enumeration DateAugust 31, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1316059033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in NJ · MAO41063

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Also ListedPediatricsTaxonomy 208000000X · License MA041063 (NJ)

199 BROAD STREET, Bloomfield, NJ 07003

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Other Identifiers 1

Medicaid1045504NJ

Other Providers at the Same Location NPPES

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

LOUIS JOHN CELEBRE MD

Internal Medicine (Gastroenterology)

199 BROAD STREET, SUITE 1A
BLOOMFIELD, NJ 07003

Essex County (973) 680-5500

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 Madhavi Shah's NPI number?

The NPI number for Madhavi Shah is 1316059033. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Madhavi Shah located?

Madhavi Shah practices at 199 Broad Street Suite 1B, Bloomfield, NJ 07003. The listed phone number is (973) 743-1392.

What is Madhavi Shah's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Madhavi Shah was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.