Individual provider Active NPI

Vinay R Shah, M.D.

  • Obstetrics & Gynecology Physician
  • Clifton, NJ
National Provider Identifier
1356358709
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA53547 Issued in NJ
Practice address
985 Paulison Ave
Clifton, NJ 07011-3629
Phone
(973) 471-2000
Fax
(973) 773-8553
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA53547 NJ Primary

Addresses

Primary practice location

985 Paulison Ave
Clifton, NJ 07011-3629

Mailing address

985 Paulison Ave
Clifton, NJ 07011-3629
Phone (973) 471-2000

Other identifiers 1

IdentifierTypeStateIssuer
6226302MedicaidNJ

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
I20080402000211 NJ Practitioner - Obstetrics/Gynecology 9436236411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

985 Paulison Ave
Clifton, NJ 07011-3629
Phone (973) 471-2000

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • St Mary'S General Hospital Hospital, Passaic, NJ, CCN 310006
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA53547NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys General Medical Group PC Obstetrics & Gynecology CurrentSince Jun 13, 2025 Accepting new patients
Prime Healthcare Services - St. Mary'S Passaic LLC Past Accepting new patients

Locations

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

Interoperability endpoints

  • Direct secure messaging: vinay.shah@vinayrshahmd.ehi.direct-ci.com

Organizations & group practices 3

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 4

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1356358709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 PAULISON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113629",
            "telephone_number": "973-471-2000",
            "fax_number": "973-773-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 PAULISON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113629",
            "telephone_number": "973-471-2000",
            "fax_number": "973-773-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VINAY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA53547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6226302",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.