Jay P Shah, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

25MA08911800 Issued in NJ

Practice address

308 Willow Ave
Hoboken, NJ 07030-3808

Phone

(201) 418-1000

NPI assigned

Nov 30, 2005

Last updated

Aug 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newbridge Services, IncGroup PAC ID 3072598978, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jay.shah.p1@direct.cfg.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Newbridge Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parsippany, NJ
  • NPI 1982768420
  Medicare reassignment Care Compare group NPD
• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545
  Medicare reassignment NPD
• Prime Healthcare Services - Saint Clare's LLC

  dba Saint Clare's Hospital

  • General Acute Care Hospital
  • Denville, NJ
  • NPI 1497134274
  Medicare reassignment NPD
• Newbridge Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sparta, NJ
  • NPI 1790129310
  NPD
• Prime Healthcare Services - Saint Clare's LLC

  dba Saint Clare's Hospital - Boonton

  • Psychiatric Hospital Unit
  • Boonton Township, NJ
  • NPI 1902286172
  NPD
• Humc Opco LLC

  dba Hoboken University Hospital

  • Psychiatric Hospital Unit
  • Hoboken, NJ
  • NPI 1053576678
  NPD (past)
• Newbridge Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parsippany, NJ
  • NPI 1255676201
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1043294499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 WILLOW AVE",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303808",
            "telephone_number": "201-418-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 WILLOW AVE",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303808",
            "telephone_number": "201-418-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JAY",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA08911800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Shaffer, LCSW, LCADC
• Shah Rehabilitation Group LLC
• Amit A. Shah, M.D.
• Anuja Shah, M.D.
• Deepti Nishit Shah, M.P.T
• Nazia Shah, DPM
• Paulin Shah
• Sheena Shah, DPT
• Shounak Shah, PT, DPT
• Jaffer Shahid, RPH

• Child & Adolescent Psychiatry Physician in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Child & Adolescent Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.