SANJAYKUMAR SHAH APN
NPI 1083947279
Nurse Practitioner - Acute Care in East Orange, NJ

Active since September 07, 2009PECOS EnrolledAccepts Medicare Assignment
310 CENTRAL AVENUE, SUITE 102, EAST ORANGE, NJ 07018(973) 395-1550(973) 395-1556 Get Directions Write a Review

NPPES record last updated: April 22, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sanjaykumar Shah Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANJAYKUMAR SHAH APN (NPI 1083947279) is an individual acute care provider in East Orange, New Jersey, licensed in New Jersey (26NJ00228100) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1083947279
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameSANJAYKUMAR SHAHCredential: APN
Location Address310 CENTRAL AVENUE, SUITE 102East Orange, NJ 07018
Mailing Address21 Edgewood RoadSummit, NJ 07901 · (973) 395-1550 · Fax (973) 395-1556
Fax(973) 395-1556
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 7, 2009
Last NPPES UpdateApril 22, 2019
✔ NPI 1083947279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NJ · 26NJ00228100
310 CENTRAL AVENUE, East Orange, NJ 07018

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sanjaykumar Shah Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082880182
PECOS Enrollment IDI20111220000287
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Sanjaykumar Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
60 EVERGREEN PLACE, SUITE 400
East Orange, NJ 07018
  • Reassigned Medicare billing, New Jersey enrollment
  • 45 clinicians in this Medicare group
Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Carewell Health Medical Center

Acute Care Hospitals · East Orange, NJ
1/5 CMS rating
OwnershipProprietary
CMS Certification Number310083
Location300 Central AveEast Orange, NJ 07018 · Essex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
310 CENTRAL AVENUE, SUITE 301
EAST ORANGE, NJ 07018
Pediatrics
310 CENTRAL AVENUE, SUITE 305
EAST ORANGE, NJ 07018
Specialist/Technologist, Other (Electroneurodiagnostic)
310 CENTRAL AVENUE, SUITE 203
EAST ORANGE, NJ 07018
Family Medicine
310 CENTRAL AVENUE
EAST ORANGE, NJ 07018
Nurse Practitioner (Adult Health)
310 CENTRAL AVENUE, SUITE 102
EAST ORANGE, NJ 07018
Nurse Practitioner (Adult Health)
310 CENTRAL AVENUE, SUITE 102
EAST ORANGE, NJ 07018
Internal Medicine
310 CENTRAL AVENUE, SUITE 102
EAST ORANGE, NJ 07018
Nurse Practitioner
310 CENTRAL AVENUE, SUITE 102
EAST ORANGE, NJ 07018

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanjaykumar Shah's NPI number?

The NPI number for Sanjaykumar Shah is 1083947279. It was assigned to this individual provider in the NPPES registry on September 7, 2009.

Where is Sanjaykumar Shah located?

Sanjaykumar Shah practices at 310 Central Avenue Suite 102, East Orange, NJ 07018. The listed phone number is (973) 395-1550.

What is Sanjaykumar Shah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Sanjaykumar Shah enrolled in Medicare?

Yes. Sanjaykumar Shah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sanjaykumar Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjaykumar Shah reassigns Medicare benefits to 2 organizations: The Heart Center Of The Oranges (East Orange, NJ) and Practice Associates Medical Group (Morristown, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sanjaykumar Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sanjaykumar Shah accept?

Health plans from Oscar Health list Sanjaykumar Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sanjaykumar Shah affiliated with any hospitals?

According to CMS data, Sanjaykumar Shah is affiliated with Cooperman Barnabas Medical Center and Carewell Health Medical Center.

When was this NPI record last updated?

The NPPES record for Sanjaykumar Shah was last updated on April 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.