Shivani S Shah, DO - Medicare Pediatrics in Newark, NJ

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Shivani S Shah, DO is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Newark, New Jersey. Her current practice location is 201 Lyons Ave, Newark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 926-6946.

Shivani S Shah is licensed to practice in New York (license number 323955-01) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1447759915.

Contact Information

Shivani S Shah, DO
201 Lyons Ave,
Newark, NJ 07112-2027
(973) 926-6946
Not Available

Map and Direction




Physician's Profile

Full NameShivani S Shah
GenderFemale
SpecialityPediatrics - Pediatric Emergency Medicine
Location201 Lyons Ave, Newark, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447759915
  • Provider Enumeration Date: 02/09/2018
  • Last Update Date: 09/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0547679268
  • Enrollment ID: I20210511000524

Medical Identifiers

Medical identifiers for Shivani S Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447759915NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 25MB10814400 (New Jersey)Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine 323955-01 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shivani S Shah allows following entities to bill medicare on her behalf.
Entity NameMiddlesex Emergency Physicians, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811921760
PECOS PAC ID: 9931002854
Enrollment ID: O20040129000034
Entity NameEmergency Physician Services Of New Jersey,professional Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831539568
PECOS PAC ID: 1052554177
Enrollment ID: O20130821000326

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shivani S Shah is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shivani S Shah, DO
125 Paterson St,
New Brunswick, NJ 08901-1962

Ph: (732) 235-7883		Shivani S Shah, DO
201 Lyons Ave,
Newark, NJ 07112-2027

Ph: (973) 926-6946

Reviews and Comments


Pediatrics Doctors in Newark, NJ

Dr. Catherine Anne Scarfi, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: Newark Beth Israel Medical Center- Emergency Medicine, 201 Lyons Ave. Dept. D11 (emergency Medicine), Newark, NJ 07112
Phone: 973-926-6671    
Erika Yesenia Pineda, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 201 Lyons Ave, Newark, NJ 07112
Phone: 973-926-7000    
Dr. Anitha Irakam, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 201 Lyons Ave, Newark, NJ 07112
Phone: 973-926-7203    Fax: 973-926-2332
Dr. Fatema Jaffery, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 166 Lyons Ave Fl 1, Newark, NJ 07112
Phone: 973-926-7428    
Dr. Derrick Mcqueen, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 201 Lyons Ave, Newark, NJ 07112
Phone: 973-926-3568    Fax: 973-926-6452
Joseph V Schwab, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 90 Bergen St, Suite 4300, Newark, NJ 07103
Phone: 973-972-2100    Fax: 973-972-2102
Mr. Dhanbir S Saluja, MD PA
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 230 Jefferson St, Newark, NJ 07105
Phone: 973-589-5940    Fax: 973-465-0706

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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