SHIVANI S SHAH DO
NPI 1447759915
Pediatrics - Pediatric Emergency Medicine in Newark, NJ

Active since February 09, 2018PECOS Enrolled
201 LYONS AVE, NEWARK, NJ 07112(973) 926-6946 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2021, May 6, 2020 (2 updates tracked since 2020).

About Shivani S Shah Do NPPES

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

SHIVANI S SHAH DO (NPI 1447759915) is an individual pediatric emergency medicine provider in Newark, New Jersey, licensed in New York (323955-01) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Brunswick.

NPPES Registry Identity

NPI1447759915
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameSHIVANI S SHAHCredential: DO
Location Address201 LYONS AVENewark, NJ 07112-2027
Mailing Address125 Paterson StNew Brunswick, NJ 08901-1962 · (732) 235-7883 · Fax (732) 235-6609
Sole ProprietorNo
Enumeration DateFebruary 9, 2018
Last NPPES UpdateSeptember 12, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2023
NPI 1447759915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in NY · 323955-01
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 25MB10814400 (NJ)
201 LYONS AVE, Newark, NJ 07112

Secondary Practice Location 1

Location 11 Rwj PlNew Brunswick, NJ 08901-1928 · Phone (732) 828-3000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shivani S Shah Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Radiology (Diagnostic Radiology)
201 LYONS AVE
NEWARK, NJ 07112
Emergency Medicine
201 LYONS AVE, SUITE D11
NEWARK, NJ 07112
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Pediatrics (Pediatric Critical Care Medicine)
201 LYONS AVE
NEWARK, NJ 07112
Nurse Practitioner (Acute Care)
201 LYONS AVE
NEWARK, NJ 07112
Physician Assistant
201 LYONS AVE
NEWARK, NJ 07112
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112

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 Shivani Shah's NPI number?

The NPI number for Shivani Shah is 1447759915. It was assigned to this individual provider in the NPPES registry on February 9, 2018.

Where is Shivani Shah located?

Shivani Shah practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-6946.

What is Shivani Shah's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Shivani Shah enrolled in Medicare?

Yes. Shivani Shah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shivani Shah was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.