DR. MANALI SHAH (MD) – Internal Medicine Physician, NPI 1124764014

DR. MANALI SHAH (MD) is a healthcare provider. based in Mickleton, New Jersey. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 336152 (NY). The NPI Number for DR. MANALI SHAH (MD) is 1124764014

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. MANALI SHAH (MD)
NPI
1124764014
Phone
(856) 383-2616
Address
56 CURTMANTLE RD
Enumeration Date
12 May 2022
Last Update Date
16 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2122639700
Graduation Year
2022 (4 years ago)
PAC ID
1052827359
Group Practice PAC ID
1355232422
Professional Enrollment ID
I20250723001471
Address ID
NY100061901NE111XXBROA200
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

6,893 INTERNAL MEDICINE in NJ

Provider Addresses for DR. MANALI SHAH (MD)

  • 56 CURTMANTLE RD

    MICKLETON, NJ 080561264

    Phone: (856) 383-2616

    Type: Mailing

  • 150 BERGEN ST

    NEWARK, NJ 071032496

    Phone: (973) 972-6056

    Type: Location

  • 550 1ST AVE

    NEW YORK, NY 100166402

    Phone: (212) 263-7300

    Fax: (212) 263-6022

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250723001471IInternal MedicineNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08056)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355232422View full group profile
NameSpecialtyState
-PA
O B S T E T R I C S/ G Y N E C O L O G YNY
Internal MedicineNY
-NY
A N E S T H E S I O L O G YTX
Physical Therapist In Private PracticeNY
A N E S T H E S I O L O G YNY
-NY
-NY
-NY

Reviews

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Frequently asked questions

Does DR. MANALI SHAH (MD) have a public NPI I can cite?
Public records show DR. MANALI SHAH (MD) under NPI 1124764014.
Does the public listing show DR. MANALI SHAH (MD) as active?
DR. MANALI SHAH (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. MANALI SHAH (MD)?
NPPES ties DR. MANALI SHAH (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MANALI SHAH (MD)?
DR. MANALI SHAH (MD) is associated with Mickleton, New Jersey in the same public data insurers reference.
Why is information missing for DR. MANALI SHAH (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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