Individual provider Active NPI

Nilay Ramesh Shah, MD

  • Clinical Neurophysiology Physician
  • Fair Lawn, NJ
National Provider Identifier
1154372621
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
227852 Issued in NY
Practice address
14-01 Broadway Ste B
Fair Lawn, NJ 07410-2001
Phone
(201) 791-4544
Fax
(201) 301-8892
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 227852 NY Primary

Addresses

Primary practice location

14-01 Broadway Ste B
Fair Lawn, NJ 07410-2001

Mailing address

255 W Spring Valley Ave Ste 102
Maywood, NJ 07607-1444
Phone (201) 880-8060

Other practice location 1

255 W Spring Valley Ave Ste 102
Maywood, NJ 07607-1444
Phone (201) 880-8060

Other identifiers 1

IdentifierTypeStateIssuer
02472966MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20060419000169 NY Practitioner - Neurology 5890704811 Reassigns benefits to 4 organizations
I20070816000577 NJ Practitioner - Neurology 5890704811 Reassigns benefits to 11 organizations
I20140626001436 PA Practitioner - Neurology 5890704811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Sovereign Medical Group LLCGroup PAC ID 1456535392, 20 clinicians
Nilay Shah MD PCGroup PAC ID 3870685118, 2 clinicians
Roseville Medical Society LLCGroup PAC ID 3072939255, 15 clinicians
Wyckoff Professional Medical Services PCGroup PAC ID 6406748607, 154 clinicians
North Ward Medical Arts LLCGroup PAC ID 3173946175, 11 clinicians
North Ward Behavioral Health Center LLCGroup PAC ID 3375965569, 11 clinicians
Metropolitan Medical Group LLCGroup PAC ID 1759716590, 10 clinicians
Salerno Medical Associates, LLCGroup PAC ID 3678676434, 38 clinicians
Senior Healthcare Outreach ProgramGroup PAC ID 5890893713, 12 clinicians
Forme Medical Center, Inc.Group PAC ID 5294899753, 7 clinicians

Practice addresses (Care Compare)

14 -01 Broadway
Suite B
Fair Lawn, NJ 07410-2008
Phone (201) 855-8455

255 W Spring Valley Ave
Suite 102
Maywood, NJ 07607-1444

346 Roseville Ave
Newark, NJ 07107-1722

374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7266

485 Mount Prospect Ave
Newark, NJ 07104-2903

508 -510 Mount Prospect Ave
Newark, NJ 07104-2904
Phone (862) 229-1515

570 Park Ave
East Orange, NJ 07017-1904
Phone (973) 672-2455

613 Park Ave
East Orange, NJ 07017-1905

7 -11 S Broadway
White Plains, NY 10601-3531
Phone (914) 723-4900

95 Bridge Plaza Dr
Manalapan, NJ 07726-1700
Phone (973) 672-8573

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
227852NYMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sovereign Medical Group, LLC CurrentSince Dec 1, 2013 Accepting new patients
Roseville Medical Society LLC CurrentSince Apr 17, 2020 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Dent Neurologic Group LLP CurrentSince Jan 13, 2020 Accepting new patients
Call to Care LLC CurrentSince Mar 1, 2020 Accepting new patients
North Ward Behavioral Health Center LLC CurrentSince Mar 13, 2020 Accepting new patients
Newark Vein and Vascular Center LLC CurrentSince Jun 1, 2020 Accepting new patients
Wyckoff Professional Medical Services, PC CurrentSince Jul 8, 2017 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Bonleven Healthcare Clinical Neurophysiology CurrentSince Oct 1, 2025 Accepting new patients
Salerno Medical Associates, LLC CurrentSince Jan 1, 2009 Accepting new patients
Montefiore Nyack Hospital CurrentSince Feb 4, 2020 Accepting new patients
North Ward Medical Arts LLC CurrentSince Mar 7, 2020 Accepting new patients
Senior Healthcare Outreach Program CurrentSince Apr 6, 2013 Accepting new patients
Metropolitan Medical Group LLC CurrentSince Dec 1, 2019 Accepting new patients
Sovereign Medical Group LLC CurrentSince Dec 1, 2013 Accepting new patients
Montefiore Nyack Hospital CurrentSince Feb 4, 2020 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Arnot Ogden Medical Center Past Accepting new patients
Crystal Run Healthcare Physicians LLP Past Accepting new patients
Advantagehealth Medical Services, PC Past Accepting new patients
First Columbus Medical PC Past Accepting new patients
Riverfront Neurological Assoc LLC PastSince Mar 3, 2009 Accepting new patients

Locations

14 Washington St
Bloomfield, NJ 07003
Phone (973) 429-0601

613 Park Ave
Fl 1
East Orange, NJ 07017
Phone (973) 556-0955

613 Park Ave
Fl 2
East Orange, NJ 07017
Phone (973) 485-6433

613 Park Ave
East Orange, NJ 07017
Phone (973) 672-2455

1401 Broadway
Ste 3
Fair Lawn, NJ 07410
Phone (201) 279-6340

85 Harristown Rd
Ste 200
Glen Rock, NJ 07452
Phone (201) 444-4526

1575 Route 517
Hackettstown, NJ 07840
Phone (646) 209-5519

95 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 841-0319

255 W Spring Valley Ave
Ste 102
Maywood, NJ 07607
Phone (201) 279-6340

485 Mount Prospect Ave
#2
Newark, NJ 07104

485 Mount Prospect Ave
Fl 1
Newark, NJ 07104
Phone (973) 485-6433

485 Mount Prospect Ave
Newark, NJ 07104
Phone (973) 639-7546

292 Lafayette St
Newark, NJ 07105
Phone (866) 525-9018

346 Roseville Ave
Newark, NJ 07107
Phone (973) 482-7245

680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869

523 Park Ave
Orange, NJ 07050
Phone (862) 229-1516

523 Park Ave
Ste B
Orange, NJ 07050
Phone (862) 229-1516

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

3980 Sheridan Dr
Snyder, NY 14226
Phone (716) 929-2800

75 S Broadway
Yonkers, NY 10701
Phone (914) 376-7134

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

2100 Keystone Ave
Ste 300
Drexel Hill, PA 19026
Phone (610) 394-4731

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13207/brand/1/csg/1/fhir/r4

Organizations & group practices 26

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

View all 26

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1154372621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W SPRING VALLEY AVE STE 102",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071444",
            "telephone_number": "201-880-8060",
            "fax_number": "201-880-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14-01 BROADWAY STE B",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102001",
            "telephone_number": "201-791-4544",
            "fax_number": "201-301-8892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 W Spring Valley Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "NJ",
            "postal_code": "076071444",
            "country_code": "US",
            "telephone_number": "201-880-8060",
            "fax_number": "201-301-8892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NILAY",
        "middle_name": "RAMESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NY",
            "license": "227852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02472966",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.