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

Kinjalben Mounesh Shukla

Individual provider Adult Health Nurse Practitioner · NPI 1306643242

Kinjalben Mounesh Shukla is a Nurse Practitioner in Clark, New Jersey. Qualified in 2024, 2 years ago. Practices with Primary Care Group, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2025

Practice location Partly verified

Some contact details are missing from the federal record.

Westfield Ave 2 Westfeild Ave
Clark, NJ 07066
Phone: (908) 505-5141
Fax: (908) 208-6492
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 26NJ15284400 (NJ)

Record details

NPI number1306643242
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 27, 2025
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Primary Care Group, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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