Individual provider Active NPI

Syed Zain Ul Abideen Shah

  • Internal Medicine Physician
  • Upper Saddle River, NJ
National Provider Identifier
1477434330
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P137704 Issued in NY
Practice address
600 E Crescent Ave Ste 305
Upper Saddle River, NJ 07458-1846
Phone
(845) 738-8770
NPI assigned
Sep 9, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X P137704 NY Primary

Addresses

Primary practice location

600 E Crescent Ave Ste 305
Upper Saddle River, NJ 07458-1846

Mailing address

600 E Crescent Ave Ste 305
Upper Saddle River, NJ 07458-1846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250916004827 NY Practitioner - Internal Medicine 1254835960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ilm Medical Care PLLCGroup PAC ID 2769610989, 37 clinicians

Practice addresses (Care Compare)

11909 26TH Ave
Flushing, NY 11354-1022
Phone (845) 738-8770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ilm Medical Care PLLC Single Specialty CurrentSince Aug 26, 2025 Accepting new patients
Clear Choice Medical PC Single Specialty CurrentSince Oct 1, 2025 Accepting new patients

Locations

600 E Crescent Ave
Ste 305
Upper Saddle River, NJ 07458

3438 Bell Blvd
Ste 301
Bayside, NY 11361

2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700

641 W 230th St
Bronx, NY 10463
Phone (646) 285-1720

4646 Fairport Nine Mile Point Rd
Fairport, NY 14450
Phone (585) 377-0350

353 Beach 48th St
Far Rockaway, NY 11691
Phone (718) 471-5000

11909 26th Ave
Flushing, NY 11354
Phone (718) 434-0600

7005 35th Ave
Jackson Hts, NY 11372
Phone (718) 424-6800

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1477434330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E CRESCENT AVE STE 305",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E CRESCENT AVE STE 305",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581846",
            "telephone_number": "845-738-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SYED ZAIN UL ABIDEEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P137704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Saddle River, NJ

Sources for this page

Verify at the official NPI Registry.