Sanjay R Shah (NPI# 1568624302, PAC ID# 6002944675) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1568624302 |
| PAC ID by PECOS | 6002944675 |
| Professional Enrollment ID | I20100503000729 |
| Full Name | Sanjay R Shah |
| Organization Legal Name | NORTH JERSEY VASCULAR CENTER LLC |
| Address |
1429 Broad St Clifton NJ 07013-4221 |
| Phone Number | 9735327899 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 3678896446 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310019 | ST JOSEPH'S HOSPITAL AND MEDICAL CENTER |
| 310006 | ST MARY'S GENERAL HOSPITAL |
| 310017 | CHILTON MEDICAL CENTER |
| 310050 | SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS |
| 310118 | HUDSON REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1429 Broad St, Clifton, NJ 07013-4221 | 9735327899 | NORTH JERSEY VASCULAR CENTER LLC |
| 246 Hamburg Tpke, Suite 207, Wayne, NJ 07470-2160 | 9736533366 | NORTH JERSEY NEPHROLOGY ASSOC. PA |
| Organization Legal Name | NORTH JERSEY VASCULAR CENTER LLC |
| Physicians | 1 |
| Street Address |
1429 BROAD ST |
| City | CLIFTON |
| State | NJ |
| Zip | 07013-4221 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin C Herman | Interventional Radiology | Nj Endovascular and Amputation Prevention, LLC | 1429 Broad St, Clifton, NJ 07013-4221 |
| Mary Frances Murphy | Nurse Practitioner | Nj Endovascular and Amputation Prevention, LLC | 1429 Broad St, Clifton, NJ 07013-4221 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce Mazie | Optometry | 1020 Route 46 W, Clifton, NJ 07013 | |
| Michael S Abrams | Psychologist, Clinical | 120 Mountain Park Rd, Clifton, NJ 07013-1152 | |
| Lidia Dengelegi Abrams | Psychologist, Clinical | 120 Mountain Park Rd, Clifton, NJ 07013-1152 | |
| Melchiorre J Russo | Internal Medicine | 128 Valley Rd, Clifton, NJ 07013-1169 | |
| Vincent Malba | Chiropractic | 248 Edison St, Clifton, NJ 07013-1358 | |
| Guity Fazelpoor | Psychologist, Clinical | 246 Edison St, Cliffton, NJ 07013-1358 | |
| Claire Vernaleken | Psychologist, Clinical | 246 Edison St, Cliffton, NJ 07013-1358 | |
| Jeffrey F Lakin | Orthopedic Surgery | 642 Broad St, Suite 4, Clifton, NJ 07013-1615 | |
| Ora Limor | Psychologist, Clinical | 642 Broad St, Lowr Level, Clifton, NJ 07013-1615 | |
| Richards A Afonja | Hematology/oncology | 476 Colfax Ave, Clifton, NJ 07013-1624 | |
| Find all physicians in zip 07013 | |||
| City | CLIFTON |
| Zip Code | 07013 |
| Specialty | NEPHROLOGY |
| City + Specialty | CLIFTON + NEPHROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.