Individual provider Active NPI

Hipen N. Shah

  • Nurse Practitioner
  • Mount Vernon, NY
National Provider Identifier
1275318487
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ14908400 Issued in NJ
Practice address
12 N 7TH Ave
Mount Vernon, NY 10550-2026
Phone
(914) 361-6040
NPI assigned
Aug 28, 2023
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ14908400 NJ
Nurse Practitioner 363L00000X 26NJ14908400 NJ Primary

Addresses

Primary practice location

12 N 7TH Ave
Mount Vernon, NY 10550-2026

Mailing address

25 Lasalle Ave
Hasbrouck Heights, NJ 07604-1404
Phone (201) 790-4254

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240105001409 NY Practitioner - Nurse Practitioner 5698126480 Reassigns benefits to 1 organization
I20240606000200 NJ Practitioner - Nurse Practitioner 5698126480 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middlesex Emergency Physicians, P.a.Group PAC ID 9931002854, 41 clinicians
Barron Emergency Physicians LLCGroup PAC ID 8820083785, 99 clinicians

Practice addresses (Care Compare)

65 James St
Edison, NJ 08818-3903
Phone (732) 321-7000

7600 River Rd
North Bergen, NJ 07047-6217
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ14908400NJMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of New Jersey, LLC Nurse Practitioner CurrentSince Apr 26, 2024 Accepting new patients
Hospitalist Medicine Physicians of New York, PLLC Nurse Practitioner CurrentSince Nov 26, 2023 Accepting new patients
Barron Emergency Physicians LLC Nurse Practitioner CurrentSince Jun 1, 2024 Accepting new patients
Middlesex Emergency Physicians, P.a. CurrentSince Sep 22, 2025 Accepting new patients
Bergen County Improvement Authority CurrentSince May 6, 2025 Accepting new patients
Bergen County Improvement Authority CurrentSince May 6, 2025 Accepting new patients
Bergen County Improvement Authority Past Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

1945 Corlies Ave
#33
Neptune City, NJ 07753
Phone (732) 776-4203

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

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 577-7802

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

2475 Saint Raymonds Ave
Bronx, NY 10461
Phone (718) 430-7300

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1275318487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LASALLE AVE",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041404",
            "telephone_number": "201-790-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N 7TH AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502026",
            "telephone_number": "914-361-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HIPEN",
        "middle_name": "N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ14908400",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ14908400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.