Active NPI
Suraj Shah, DO
- Hospitalist Physician
- Ridgewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 311832
- Practice address
- 1200 E Ridgewood Ave Ste 303
Ridgewood, NJ 07450-3937 - Phone
- (201) 689-7755
- Fax
- (201) 689-0521
- NPI assigned
- May 8, 2018
- Last updated
- Jan 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 25MB12586600 | NJ | |
| Hospitalist Physician | 208M00000X | 311832 | NY | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 25MB12586600 | NJ |
Addresses
Primary practice location
1200 E Ridgewood Ave Ste 303
Ridgewood, NJ 07450-3937
Mailing address
1200 E Ridgewood Ave Ste 303
Ridgewood, NJ 07450-3937
Phone (201) 689-7755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Rowan University School of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 311832 | NY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Physician Services PC | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Johnson Upper Extremity OT Services, PC | Past | Accepting new patients |
Locations
1200 E Ridgewood Ave
Ste 303
Ridgewood, NJ 07450
Phone (201) 689-7755
1000 10th Ave
Fl 3
New York, NY 10019
Phone (212) 241-2299
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
17 E 102nd St
New York, NY 10029
Phone (212) 241-7968
1000 10th Ave
Ste 3A2
New York, NY 10019
Phone (212) 259-6777
Interoperability endpoints
- suraj.shah.1@5622.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1467815928
-
dba Orthopedic Department of Mount Sinai
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1124550280
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Occupational Therapist
- New York, NY
- NPI 1457432494
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1336638071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E RIDGEWOOD AVE STE 303",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503937",
"telephone_number": "201-689-7755",
"fax_number": "201-689-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E RIDGEWOOD AVE STE 303",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503937",
"telephone_number": "201-689-7755",
"fax_number": "201-689-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SURAJ",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-08",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "25MB12586600",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "311832",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NJ",
"license": "25MB12586600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.
- 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.