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Contact Information

ROSHAN SHAH
425 JACK MARTIN BLVD
BRICK, NJ08724-7732
 Phone: 732-840-2200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROSHAN SHAH · (Male)

NPI # 1427419761
Status Active
Credentials
Entity Individual
Enumeration date 03/15/2016
Last updated 12/14/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MB10867800
  • RI License # LP03610
Hospital affiliation(s)
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
  • JFK MEDICAL CTR - ANTHONY M. YELENCSICS COMMUNITY - (Acute Care)
    65 JAMES STREET
    EDISON, NJ 08818
  • OCEAN MEDICAL CENTER - (Acute Care)
    425 JACK MARTIN BLVD
    BRICK, NJ 08724
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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