| Nilay Shah Md Pc | |
|
255 W Spring Valley Ave Ste 102 Maywood NJ 07607-1444 | |
| (201) 880-8060 | |
| (201) 880-8061 |
| Full Name | Nilay Shah Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 255 W Spring Valley Ave Ste 102, Maywood, New Jersey |
| Authorized Official Name and Position | Nilay Shah (OWNER) |
| Authorized Official Contact | 2018808060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nilay Shah Md Pc 255 W Spring Valley Ave Ste 102 Maywood NJ 07607-1444 Ph: (201) 880-8060 | Nilay Shah Md Pc 255 W Spring Valley Ave Ste 102 Maywood NJ 07607-1444 Ph: (201) 880-8060 |
| NPI Number | 1578696605 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 07/17/2020 |
| Certification Date | 07/17/2020 |
| Medicare PECOS PAC ID | 3870685118 |
|---|---|
| Medicare Enrollment ID | O20070816000590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578696605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Nilay Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154372621 PECOS PAC ID: 5890704811 Enrollment ID: I20070816000577 |
| Provider Name | Suhel H Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801042072 PECOS PAC ID: 1658428206 Enrollment ID: I20090416000441 |
| Provider Name | Duane A Fredericks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184618886 PECOS PAC ID: 1254350648 Enrollment ID: I20110729000128 |
| Provider Name | Vanessa Pilar Arias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083171177 PECOS PAC ID: 8426388984 Enrollment ID: I20190925003075 |
| Provider Name | Linda Davt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760945299 PECOS PAC ID: 4880924364 Enrollment ID: I20190926000048 |
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