Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ricky J Shah, PA-C

Individual provider Physician Assistant · NPI 1700216322

Mr. Ricky J Shah, PA-C is a Physician Assistant in Lakewood, New Jersey. Qualified in 2013, 13 years ago. Practices with Hackensack Meridian Urgent Care PC, a 50-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
13
Licensed in
NJ
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1771 Madison Ave
Lakewood, NJ 08701-1242
Phone: (732) 364-2222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00586200 (NJ)

Record details

NPI number1700216322
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 18, 2013
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Hackensack Meridian Urgent Care Pc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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