SHAH PRIMARY CARE
NPI 1750056644
Internal Medicine in Wayne, NJ
About Shah Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAH PRIMARY CARE (NPI 1750056644) is a healthcare organization registered as an internal medicine in Wayne, New Jersey and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through July 11, 2027 and lists Shipra Shah, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shah Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Shah Primary Care, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 31D2229368
Shah Primary Care · Wayne, NJFrequently 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 Shah Primary Care's NPI number?
The NPI number for Shah Primary Care is 1750056644. It was assigned to this organization in the NPPES registry on August 12, 2021.
Where is Shah Primary Care located?
Shah Primary Care is located at 1680 Rte 23 Ste 160, Wayne, NJ 07470. The listed phone number is (973) 221-2500.
What is Shah Primary Care's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Shah Primary Care enrolled in Medicare?
Yes. Shah Primary Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shah Primary Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Shah Primary Care. 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.
Does Shah Primary Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D2229368) is associated with this NPI, valid through July 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Shah Primary Care was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Shah Primary Care · NPI 1750056644
Internal Medicine organization in Wayne, New Jersey. Organization record, active in the CMS NPPES registry since August 12, 2021.
## Identity
- **NPI:** 1750056644 (Entity type: Organization)
- **Enumerated:** August 12, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Shipra Shah, OWNER
## Practice location
- **Address:** 1680 RTE 23 STE 160, Wayne, NJ 07470-7512
- **Phone:** (973) 221-2500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1750056644) · Data from the CMS NPPES public registry.