| Dr Shrenik G Shah, MD | |
| 55 W Passaic Ave, Bloomfield, NJ 07003-4502 | |
| (973) 338-8059 | |
| (973) 338-6013 | 
| Full Name | Dr Shrenik G Shah | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 55 W Passaic Ave, Bloomfield, New Jersey | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053352732 | NPI | - | NPPES | 
| 463751473 | Other | NJ | TAX ID | 
| 4699106 | Medicaid | NJ | |
| 318777 | Other | NJ | 1922435585 | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | MA 44420 (New Jersey) | Primary | 
| Entity Name | Union County Health Care Associates Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033271291 PECOS PAC ID: 2163450958 Enrollment ID: O20050802001062 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Shrenik G Shah, MD 55 W Passaic Ave, Bloomfield, NJ 07003-4502 Ph: (973) 338-8059 | Dr Shrenik G Shah, MD 55 W Passaic Ave, Bloomfield, NJ 07003-4502 Ph: (973) 338-8059 | 
| Dr. Louis J. Petracca, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 332 Bloomfield Ave, Bloomfield, NJ 07003 Phone: 973-429-9225 Fax: 973-566-0973 | |
| Dr. Richard Leon Podkul, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1064 Broad St, Bloomfield, NJ 07003 Phone: 973-893-0282 Fax: 973-893-0612 | |
| Dr. Marco Tartaglia, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 20 Watsessing Ave, Bloomfield, NJ 07003 Phone: 973-364-0888 Fax: 973-364-0889 | |
| Chelsea Marie Covino, PA-C Internal Medicine Medicare: Medicare Enrolled Practice Location: 322 Glenwood Ave, Bloomfield, NJ 07003 Phone: 973-929-7600 | |
| Dr. Catalino Lozano Delacruz Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 135 Bloomfield Ave, Suite B, Bloomfield, NJ 07003 Phone: 973-743-2248 Fax: 973-743-0688 | |
| John Kelly, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 382 W Passaic Ave, Bloomfield, NJ 07003 Phone: 973-338-1900 Fax: 973-761-0112 |