Individual provider Active NPI

Tejash Shah, CRNA

  • Certified Registered Nurse Anesthetist
  • Clifton, NJ
National Provider Identifier
1194176800
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NJ00642300 Issued in NJ
Practice address
137 Haddenfield Rd
Clifton, NJ 07013-3907
Phone
(973) 510-3808
NPI assigned
Jun 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 26NJ00642300 NJ Primary

Addresses

Primary practice location

137 Haddenfield Rd
Clifton, NJ 07013-3907

Mailing address

137 Haddenfield Rd
Clifton, NJ 07013-3907
Phone (973) 510-3808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160817001441 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971898826 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians

Practice addresses (Care Compare)

7600 River Rd
North Bergen, NJ 07047-6217
Phone (201) 854-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
Vital IV Infusions Chatham LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Vital IV Infusions Montclair LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Jul 11, 2016 Accepting new patients
Parkway Anesthesia Associates LLC CurrentSince Nov 1, 2021 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC CurrentSince Apr 15, 2019 Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

159 Main St
Chatham, NJ 07928
Phone (856) 712-3505

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

Interoperability endpoints

  • Direct secure messaging: tejash.shah@direct.hobokenumc.md

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1194176800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 HADDENFIELD RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133907",
            "telephone_number": "973-510-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 HADDENFIELD RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133907",
            "telephone_number": "973-510-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "TEJASH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00642300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.