Individual provider Active NPI

Viral Jagdishbhai Shah, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Paramus, NJ
National Provider Identifier
1336318344
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
25MA083490000076 Issued in NJ
Practice address
30 W Century Rd
Suite 255
Paramus, NJ 07652-1433
Phone
(973) 535-8870
Fax
(973) 535-8818
NPI assigned
Feb 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 060-0003445 VT
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 233395 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 25MA083490000076 NJ Primary

Addresses

Primary practice location

30 W Century Rd
Suite 255
Paramus, NJ 07652-1433

Mailing address

22 Old Short Hills Rd Ste 201
Livingston, NJ 07039-5605
Phone (973) 535-8870

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
I20081213000131 NJ Practitioner - EndocrinologyPractitioner - Internal Medicine 8224090071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

690 Kinderkamack Rd
Suite 201
Oradell, NJ 07649-1524
Phone (201) 483-7362

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.92 of 100Reported as individual
Quality
87.27
Improvement activities
40
Cost
73.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA083490000076NJMDEndocrinology, Diabetes & Metabolism Physician
233395NYMDEndocrinology, Diabetes & Metabolism Physician
060-0003445VTMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes & Endocrine Health Consultant Endocrinology, Diabetes & Metabolism CurrentSince Aug 1, 2022 Accepting new patients

Locations

690 Kinderkamack Rd
Ste 201
Oradell, NJ 07649
Phone (201) 483-7362

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBCICD/Endpoint/BBCICD

Organizations & group practices 1

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 3

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": "1203724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1336318344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD STE 201",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395605",
            "telephone_number": "973-535-8870",
            "fax_number": "973-535-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W CENTURY RD",
            "address_2": "SUITE 255",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521433",
            "telephone_number": "973-535-8870",
            "fax_number": "973-535-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VIRAL",
        "middle_name": "JAGDISHBHAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-23",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VT",
            "license": "060-0003445",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "233395",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA083490000076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.