Individual provider Active NPI

Dilip Amrytlal Shah, MD

  • Psychiatry Physician
  • Clifton, NJ
National Provider Identifier
1689728040
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA41983 Issued in NJ
Practice address
1033 Clifton Ave Ste 209
Clifton, NJ 07013-3525
Phone
(973) 471-8888
Fax
(800) 725-3221
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA41983 NJ Primary

Addresses

Primary practice location

1033 Clifton Ave Ste 209
Clifton, NJ 07013-3525

Mailing address

1033 Clifton Ave Ste 209
Clifton, NJ 07013-3525
Phone (973) 471-8888

Other practice location 1

142 Palisade Ave Ste 211
Jersey City, NJ 07306-1108
Phone (201) 963-6363

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
I20040108000010 NJ Practitioner - Psychiatry 3577462589 Practice locations: Clifton, NJ; Jersey City, NJ; West Caldwell, NJ

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1977
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

142 Palisade Ave
Suite 105
Jersey City, NJ 07306-1108
Phone (201) 963-6363

721 Clifton Ave
Clifton, NJ 07013-1880
Phone (973) 471-8888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA41983NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Hospital Opco LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dilip.shah@direct.christhospital.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1689728040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 CLIFTON AVE STE 209",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133525",
            "telephone_number": "973-471-8888",
            "fax_number": "007-253-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 CLIFTON AVE STE 209",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133525",
            "telephone_number": "973-471-8888",
            "fax_number": "800-725-3221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Palisade Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073061108",
            "country_code": "US",
            "telephone_number": "201-963-6363",
            "fax_number": "800-725-3221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DILIP",
        "middle_name": "AMRYTLAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA41983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.