MEDICARE: NEHALI SHAH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	26NJ15397500	NJ
2	163W00000X	Registered Nurse	917370	NY
3	163W00000X	Registered Nurse	26NR25780500	NJ

General Provider Information

NPI Number	:	1285445858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEHALI SHAH

Provider Business Mailing Address
First Line	:	5 FRANKLIN AVE STE 109
Second Line	:
City	:	BELLEVILLE
State	:	NJ
Zip	:	07109-3521
Country	:	US
Telephone Number	:	973-759-7240
Fax Number	:	973-759-7243

Provider Business Practice Location Address
First Line	:	5 FRANKLIN AVE STE 109
Second Line	:
City	:	BELLEVILLE
State	:	NJ
Zip	:	07109-3521
Country	:	US
Telephone Number	:	973-759-7240
Fax Number	:	973-759-7243

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2025
Last Update Date	:	01/21/2026

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Directions to “ NEHALI SHAH ” Practice Location

Language	Start Address	Practice Location

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