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

Jay Jitendrakumar Shah, MD

Individual provider Internal Medicine Physician · NPI 1285166264

Jay Jitendrakumar Shah, MD is an Internal Medicine in Somerville, New Jersey. Qualified in 2014, 12 years ago. Practices with Robert Wood Johnson Physician Enterprise, a 71-clinician group and accepts Medicare assignment. Licensed in New Jersey and Ohio.

Years since qualifying
12
Licensed in
NJ, OH
In the registry since
2017
Specialties on file
3
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

110 Rehill Ave
Somerville, NJ 08876-2519
Phone: (313) 343-7774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 25MA12194400 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 35.144054 (OH)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 25MA12194400 (NJ)

Record details

NPI number1285166264
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2017
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024
Mailing address22201 Moross Rd Ste 50, Detroit, MI 48236-2166

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Robert Wood Johnson Physician Enterprise — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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