Shan M Nagendra, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

142050 Issued in NY

Practice address

246 Barkley Ave
Clifton, NJ 07011-3136

Phone

(862) 899-7531

Fax

(973) 685-7370

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 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 2

Specialty

NeurologyAlso: Anesthesiology, Internal Medicine, Interventional Pain Management, Neuropsychiatry

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back and Body Medical Center LLCGroup PAC ID 7719338771, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050
• St Mary'S General Hospital Hospital, Passaic, NJ, CCN 310006

Merit-based Incentive Payment System (MIPS)

Final score

23.25 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

77.51

Merit-based Incentive Payment System (MIPS)

Final score

22.43 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

74.77

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Back and Body Medical Center, LLC

  • Interventional Pain Medicine Physician
  • Westfield, NJ
  • NPI 1447930862

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Shan Nagendra,M.D.P.C.

  • Specialist
  • Bayonne, NJ
  • NPI 1174705776
  Medicare reassignment NPD Authorized official
• New York Neurology and Pain Management

  • Neurology Physician
  • Staten Island, NY
  • NPI 1447995568

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Vail Healthcare Medical PLLC

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1487051207

  Multi-Specialty

  Medicare reassignment NPD
• Wellcare of BX Medical PC

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1851848618

  Multi-Specialty

  Medicare reassignment NPD
• Passaic Sleep Medicine & Neurological Services PC

  • Neurology Physician
  • Denville, NJ
  • NPI 1871875955

  Multi-Specialty

  NPD (past)

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

• Prime Healthcare Services - Saint Clare'S LLC

  • General Acute Care Hospital
  • Denville, NJ
  • NPI 1598144362
  Care Compare affiliation
• Prime Healthcare Services - St. Mary'S Passaic LLC

  • General Acute Care Hospital
  • Passaic, NJ
  • NPI 1770901761
  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1164533659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 BARKLEY AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113136",
            "telephone_number": "862-899-7531",
            "fax_number": "973-685-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 BARKLEY AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113136",
            "telephone_number": "862-899-7531",
            "fax_number": "973-685-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGENDRA",
        "first_name": "SHAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03001300",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "142050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• N Peace MD
• N. Murillo Complete Medical Center, LLC
• Deborah Nachman, D.D.S.
• Gary B Nackman, MD
• Faisal Nagarwala, M.D.
• Rogina Nagy
• Heena A Naik, D.D.S.
• Pal Naik, FNP-C
• Najat Rosario, LCSW, LLC
• Joe Elias Najjar, MD

• Psychiatry Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.