ESSEX PLAZA MEDICAL ASSOCIATES PA
NPI 1740475854
Internal Medicine in Newark, NJ

Active since September 11, 2007
1060 BROAD ST, NEWARK, NJ 07102(973) 642-0280(973) 642-0047 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Essex Plaza Medical Associates Pa NPPES

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

ESSEX PLAZA MEDICAL ASSOCIATES PA (NPI 1740475854) is a healthcare organization registered as an internal medicine in Newark, New Jersey and active in the NPI registry since September 2007. The organization lists Sandhya R Shah, President, as its authorized official.

NPPES Registry Identity

NPI1740475854
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameESSEX PLAZA MEDICAL ASSOCIATES PA
Location Address1060 BROAD STNewark, NJ 07102-2397
Mailing Address95 Falcon RdLivingston, NJ 07039-4427 · (973) 642-0280 · Fax (973) 642-0047
Fax(973) 642-0047
Organization SubpartNo
Authorized OfficialSandhya R ShahPresident · (973) 642-0280
Enumeration DateSeptember 11, 2007
Last NPPES UpdateJune 12, 2013
✔ NPI 1740475854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · MA45456
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.
1060 BROAD ST, Newark, NJ 07102

Other Identifiers 2

Medicare UPIND18916
Medicaid1148001NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Essex Plaza Medical Associates Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20050422000826Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Essex Plaza Medical Associates PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1770513376
1060 BROAD ST
Newark, NJ 07102
(973) 642-0280
✔ PECOS✔ Accepts MedicareSame address

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

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 Essex Plaza Medical Associates PA's NPI number?

The NPI number for Essex Plaza Medical Associates PA is 1740475854. It was assigned to this organization in the NPPES registry on September 11, 2007.

Where is Essex Plaza Medical Associates PA located?

Essex Plaza Medical Associates PA is located at 1060 Broad St, Newark, NJ 07102. The listed phone number is (973) 642-0280.

What is Essex Plaza Medical Associates PA's specialty?

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

Is Essex Plaza Medical Associates PA enrolled in Medicare?

Yes. Essex Plaza Medical Associates PA is registered in the Medicare PECOS enrollment system.

When is Essex Plaza Medical Associates PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Essex Plaza Medical Associates PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Essex Plaza Medical Associates PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Essex Plaza Medical Associates PA was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.