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ROSHAN SHAH
NPI 1427419761
Internal Medicine in Brick, NJ

Active since March 15, 2016PECOS EnrolledAccepts Medicare Assignment
425 JACK MARTIN BLVD, BRICK, NJ 08724(732) 840-2200 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 14, 2021, Aug 13, 2020, Mar 15, 2016 (3 updates tracked since 2016).

About Roshan Shah NPPES

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

ROSHAN SHAH (NPI 1427419761) is an individual internal medicine provider in Brick, New Jersey, licensed in New Jersey (25MB10867800) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2016).

NPPES Registry Identity

NPI1427419761
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROSHAN SHAH
Location Address425 JACK MARTIN BLVDBrick, NJ 08724-7732
Mailing Address425 Jack Martin BlvdBrick, NJ 08724-7732 · (201) 394-9568
Phone(732) 840-2200
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2016
Enumeration DateMarch 15, 2016
Last NPPES UpdateDecember 14, 20213 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
✔ NPI 1427419761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NJ · 25MB10867800✔ Licensed in RI · LP03610
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
425 JACK MARTIN BLVD, Brick, NJ 08724
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roshan Shah 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 ID1254628324
PECOS Enrollment IDI20200908000978
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Roshan Shah reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist Physicians Of New Jersey PA
35 mi
Hospitalist
65 JAMES ST
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 351 clinicians in this Medicare group
NPI 1588021851 (732) 321-7000
Rwjbh Emergency Medicine Associates, LLC
38 mi
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
NPI 1912510041 (732) 867-9618
Nj Acute Care Specialists Professional Corporation
47 mi
Hospitalist
300 CENTRAL AVE
East Orange, NJ 07018
  • Reassigned Medicare billing, New Jersey enrollment
  • 125 clinicians in this Medicare group
NPI 1073805917 (973) 672-8400
Rwjbh Observation Associates LLC
48 mi
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
NPI 1760095806 (888) 724-7123
Plover Inpatient Services LLC
51 mi
Emergency Medicine
1 BAY AVE
Montclair, NJ 07042
  • Reassigned Medicare billing, New Jersey enrollment
  • 252 clinicians in this Medicare group
NPI 1134534688 (954) 939-5000

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
474 services231 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
326 services182 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
209 services198 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
76 services74 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ
2/5 CMS rating
OwnershipProprietary
CMS Certification Number310054
Location1 Bay AvenueMontclair, NJ 07042 · Essex County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08724 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
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 20

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

MRS. DANIELLE JEANETTE HUTCHINS MS
Counselor (Mental Health)
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 840-3380
DR. DOUGLAS ANDREW MILLER M.D.
Radiology (Radiation Oncology)
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 836-4109
DR. SHAWN KEATING
Internal Medicine
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 840-2200
DR. IBRAHIM ALNASER MD
Internal Medicine
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 840-2200
YOHANA REVELO-UMANA
Physician Assistant
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 840-2200
VEYOLA ROMANY REZKALLA
Student in an Organized Health Care Education/Training Program
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 840-2200
QKHANMD SERVICES LLC
Internal Medicine
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (848) 242-6303
ALLYN MCCARTHY NP
Nurse Practitioner (Family)
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 807-0877

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 Roshan Shah's NPI number?

The NPI number for Roshan Shah is 1427419761. It was assigned to this individual provider in the NPPES registry on March 15, 2016.

Where is Roshan Shah located?

Roshan Shah practices at 425 Jack Martin Blvd, Brick, NJ 08724. The listed phone number is (732) 840-2200.

What is Roshan Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Roshan Shah enrolled in Medicare?

Yes. Roshan 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.

Which organizations bill Medicare for Roshan Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roshan Shah reassigns Medicare benefits to 5 organizations: Hospitalist Physicians Of New Jersey PA (Edison, NJ), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Nj Acute Care Specialists Professional Corporation (East Orange, NJ), Rwjbh Observation Associates LLC (Livingston, NJ) and Plover Inpatient Services LLC (Montclair, NJ). Each 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 Roshan Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roshan Shah accept?

Health plans from Oscar Health list Roshan 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.

Is Roshan Shah affiliated with any hospitals?

According to CMS data, Roshan Shah is affiliated with Morristown Medical Center, Hackensack Meridian Health, Mountainside Medical and Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for Roshan Shah was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.