SHIVANI S SHAH DO
NPI 1447759915
Pediatrics - Pediatric Emergency Medicine in Newark, NJ
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
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shivani S Shah Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Shivani Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edison, NJ 08820
- Reassigned Medicare billing, New Jersey enrollment
- 156 clinicians in this Medicare group
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Mount Holly, NJ 08060
- Reassigned Medicare billing, New Jersey enrollment
- 248 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
NEWARK, NJ 07112
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.
Which organizations bill Medicare for Shivani Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shivani Shah reassigns Medicare benefits to 3 organizations: Middlesex Emergency Physicians, P.A. (Edison, NJ), North Shore - Lij Medical PC (New Hyde Park, NY) and Emergency Physician Services Of New Jersey,professional Association (Mount Holly, 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 Shivani Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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.
# Shivani S Shah, DO · NPI 1447759915
Pediatric Emergency Medicine physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since February 9, 2018.
## Identity
- **NPI:** 1447759915 (Entity type: Individual)
- **Enumerated:** February 9, 2018
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** 323955-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 LYONS AVE, Newark, NJ 07112-2027
- **Phone:** (973) 926-6946
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Middlesex Emergency Physicians, P.A. (NPI 1811921760, Edison, NJ); North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY); Emergency Physician Services Of New Jersey,professional Association (NPI 1831539568, Mount Holly, NJ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1447759915) · Data from the CMS NPPES public registry.