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

Srishti Shah, DO

Individual provider Family Medicine Physician · NPI 1417363441

Srishti Shah, DO is a Family Practice in Clifton, New Jersey. Qualified in 2014, 12 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
12
Licensed in
NJ, NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1255 Broad St
Clifton, NJ 07013-3398
Phone: (973) 685-5920
Fax: (201) 604-7464
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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 25MB10110200 (NJ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 289873 (NY)

Record details

NPI number1417363441
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 10, 2014
Last updated in NPPESOctober 24, 2022
Certification dateOctober 24, 2022
Mailing address1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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