Active NPI
Sandeep Shah, MD
- Hospitalist Physician
- North Bergen, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 25MA09103700
- Practice address
- 1906 Paterson Plank Rd
Apt #3a
North Bergen, NJ 07047-1902 - Phone
- (561) 389-0319
- NPI assigned
- Oct 26, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA09103700 | NJ | |
| Hospitalist Physician | 208M00000X | 25MA09103700 | NJ | Primary |
Addresses
Primary practice location
1906 Paterson Plank Rd
Apt #3a
North Bergen, NJ 07047-1902
Mailing address
1906 Paterson Plank Rd
Apt #3a
North Bergen, NJ 07047-1902
Phone (561) 389-0319
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital Group Inc | Current | Accepting new patients | |
| Optum Medical Care of New Jersey PC | Pediatrics | Current | Accepting new patients |
| HMH Hospitals Corporation | Pediatrics | Current | Accepting new patients |
| HMH Hospitals Corporation | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Community Hospital Group, Inc. | Pediatrics | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Pediatrics | Current | Accepting new patients |
| Hudson Premier Medical PC | Hospitalist | Current | Accepting new patients |
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Virtua - West Jersey Health System, Inc. | Past | Accepting new patients | |
| A.G. Dikengil, MD, PA | Past | Accepting new patients | |
| Riverside Medical Group | Past | Accepting new patients | |
| Virtua - Memorial Hospital Burlington County, Inc. | Past | Accepting new patients |
Locations
1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008
935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012
65 James St
Lot G
Edison, NJ 08820
Phone (732) 321-7487
65 James St
Edison, NJ 08820
Phone (732) 321-7010
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744
3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974
Interoperability endpoints
- sandeep.shah@direct.hackensackmeridian.org
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 15
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.
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Specialist
- Edison, NJ
- NPI 1225251754
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Pediatrics
-
- Emergency Medical Services (Emergency Medicine) Physician
- Secaucus, NJ
- NPI 1548809221
Hospitalist
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Clinic Pharmacy
- Hackensack, NJ
- NPI 1659139376
-
- Durable Medical Equipment & Medical Supplies
- Belleville, NJ
- NPI 1255050902
-
- Radiology Clinic/Center
- Lyndhurst, NJ
- NPI 1205992690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555545600000",
"number": "1225314966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1906 PATERSON PLANK RD",
"address_2": "APT #3A",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070471902",
"telephone_number": "561-389-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 PATERSON PLANK RD",
"address_2": "APT #3A",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070471902",
"telephone_number": "561-389-0319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SANDEEP",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-26",
"last_updated": "2019-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA09103700",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NJ",
"license": "25MA09103700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Bergen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.