Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kavitha Shah, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1881974574

Dr. Kavitha Shah, MD is a Family Practice in Clifton, New Jersey. Qualified in 2010, 16 years ago. Practices with Garden State Healthcare Associates LLC, a 175-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
16
Licensed in
NJ
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1135 Broad St
Clifton, NJ 07013-3346
Phone: (973) 754-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA09499600 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1881974574
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 25, 2011
Last updated in NPPESOctober 20, 2020
Certification dateOctober 20, 2020
Mailing address1135 Broad St, Clifton, NJ 07013-3346

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Garden State Healthcare Associates Llc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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