Organization Active NPI

Vinay R Shah MD PC

  • Obstetrics & Gynecology Physician
  • Clifton, NJ
National Provider Identifier
1740690437
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
VINAY R SHAH MD PC
Practice address
985 Paulison Ave
Clifton, NJ 07011-3629
Phone
(973) 471-2000
Fax
(973) 773-8553
NPI assigned
May 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Authorized official

Name
Bina Shah
Title
Office Manager
Phone
(973) 471-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141010000735 NJ Part B Supplier - Clinic/Group Practice 0547480717 Receives reassigned benefits from 2 practitioners
Practice locations: Clifton, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2104018Vinay R Shah, MD, PC985 Paulison Avenue, Clifton, NJ 07011Certificate of waiverOct 25, 2027

National Provider Directory

National Provider Directory

Locations

625 Broadway
Ste 3
Paterson, NJ 07514
Phone (973) 345-7888

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1740690437",
    "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": {
        "organization_name": "VINAY R SHAH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "BINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-471-2000"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.