Individual provider Active NPI

Sandeep Shah, MD

  • Hospitalist Physician
  • North Bergen, NJ
National Provider Identifier
1225314966
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
25MA09103700 Issued in NJ
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

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150512000920 NJ Practitioner - Pediatric Medicine 9133448269 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Group Inc Current Accepting new patients
Optum Medical Care of New Jersey PC Pediatrics CurrentSince May 19, 2019 Accepting new patients
HMH Hospitals Corporation Pediatrics CurrentSince Apr 1, 2022 Accepting new patients
HMH Hospitals Corporation CurrentSince Apr 1, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 14, 2024 Accepting new patients
Community Hospital Group, Inc. Pediatrics CurrentSince Oct 21, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Pediatrics CurrentSince Jan 1, 2023 Accepting new patients
Hudson Premier Medical PC Hospitalist CurrentSince Apr 1, 2021 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince May 19, 2019 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 14, 2024 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

  • Direct secure messaging: sandeep.shah@direct.hackensackmeridian.org
  • FHIR API: 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.

View all 15

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

Verify at the official NPI Registry.