Anish Jayesh Shah, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MA11193600 Issued in NJ

Practice address

1033 US Highway 46 Ste 102
Clifton, NJ 07013-2448

Phone

(973) 779-7979

Fax

(973) 779-7970

NPI assigned

Jun 26, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashah457876@ahs.direct-ci.com
• FHIR API: https://api.platform.athenahealth.com/23386/brand/1/csg/1/fhir/r4

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.

• MPV New Jersey MD Services PC

  • General Practice Physician
  • Westwood, NJ
  • NPI 1215391271
  Medicare reassignment NPD
• OB Hospitalist Services New Jersey, PA

  • Obstetrics & Gynecology Physician
  • Greenville, SC
  • NPI 1801169966

  NJ

  Medicare reassignment NPD
• DHP of Princeton, PA

  • Obstetrics & Gynecology Physician
  • Plainsboro, NJ
  • NPI 1912463498
  NPD
• MPV New Jersey MD Services PC

  • Durable Medical Equipment & Medical Supplies
  • Bloomfield, NJ
  • NPI 1801542816
  NPD
• Charles Haddad, MD

  • Obstetrics & Gynecology Physician
  • Clifton, NJ
  • NPI 1952705410
  NPD (past)

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1790205201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 US HIGHWAY 46 STE 102",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132448",
            "telephone_number": "973-779-7979",
            "fax_number": "973-779-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 US HIGHWAY 46 STE 102",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132448",
            "telephone_number": "973-779-7979",
            "fax_number": "973-779-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ANISH",
        "middle_name": "JAYESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA11193600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sessine Najjar MD LLC
• Jagdish Seth, M.D.
• Raphael Sevilla
• Maria Sevillano
• Seymour W Thomas
• Dilip Amrytlal Shah, MD
• Hiten N Shah
• Kavitha Shah, M.D
• Kimi Sudhir Shah
• Neepa Bankim Shah, DMD

• Obstetrics & Gynecology Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.