Individual provider · Type 1 NPI

Madhavi Shah, MD

Pediatric Adolescent Medicine Physician · Bloomfield, NJ

NPI number 1316059033 Active

Practice location

199 Broad Street, Suite 1B
Bloomfield, NJ 07003

Fax (973) 743-3707

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XMA041063 (NJ)
Pediatric Adolescent Medicine Physician Primary 2080A0000XMAO41063 (NJ)

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Another provider at this address

About NPI 1316059033

Madhavi Shah, MD's National Provider Identifier is 1316059033, issued on Aug 31, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Bloomfield, NJ. The record was last updated on Sep 11, 2025.