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DR. VINAY R SHAH M.D.
NPI 1356358709
Obstetrics & Gynecology in Clifton, NJ

Active since August 01, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 31D2104018 · Waiver
985 PAULISON AVE, CLIFTON, NJ 07011(973) 471-2000(973) 773-8553 Get Directions Write a Review

NPPES record last updated: August 16, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Vinay R Shah M.d. NPPES

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

DR. VINAY R SHAH M.D. (NPI 1356358709) is an individual obstetrics & gynecology provider in Clifton, New Jersey, licensed in New Jersey (MA53547) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through October 25, 2027, and is affiliated with Hackensack University Medical Center.

NPPES Registry Identity

NPI1356358709
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. VINAY R SHAHCredential: M.D.
Location Address985 PAULISON AVEClifton, NJ 07011-3629
Mailing Address985 Paulison AveClifton, NJ 07011-3629 · (973) 471-2000 · Fax (973) 773-8553
Phone(973) 471-2000
Fax(973) 773-8553
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateAugust 1, 2006
Last NPPES UpdateAugust 16, 2011
✔ NPI 1356358709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NJ · MA53547
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

985 PAULISON AVE, Clifton, NJ 07011
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Other Identifiers 3

Medicaid6226302NJ
Medicare PINSH199628NJ
Medicare UPINF88546NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vinay R Shah M.d. 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 ID9436236411
PECOS Enrollment IDI20080402000211
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2104018

Vinay R Shah, MD, PC · Clifton, NJ
Active · expires Oct 25, 2027
CLIA Number31D2104018
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorVinay R. Shah
Laboratory Phone(973) 471-2000
Laboratory LocationVinay R Shah, MD, PC985 Paulison Avenue, Clifton, NJ 07011
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services70 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
31 services31 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
31 services31 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
29 services29 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
11 services11 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

St Mary's General Hospital

Acute Care Hospitals · Passaic, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310006
Location350 BoulevardPassaic, NJ 07055 · Passaic County
Emergency services Birthing friendly

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07011 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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 3

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

VINAY R SHAH MD PC
Obstetrics & Gynecology
985 PAULISON AVE
CLIFTON, NJ 07011
Passaic County (973) 471-2000
SHIVANI V SHAH DO
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
985 PAULISON AVE
CLIFTON, NJ 07011
Passaic County (201) 890-3253
EPILEPSY EXCELLENCE OF GARDEN STATE PC
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
985 PAULISON AVE
CLIFTON, NJ 07011
Passaic County (201) 890-3253

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 Vinay Shah's NPI number?

The NPI number for Vinay Shah is 1356358709. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Vinay Shah located?

Vinay Shah practices at 985 Paulison Ave, Clifton, NJ 07011. The listed phone number is (973) 471-2000.

What is Vinay Shah's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Vinay Shah enrolled in Medicare?

Yes. Vinay 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.

Does Vinay Shah hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2104018) is associated with this NPI, valid through October 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vinay Shah accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Vinay 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 Vinay Shah affiliated with any hospitals?

According to CMS data, Vinay Shah is affiliated with Hackensack University Medical Center, St Mary's General Hospital and St Joseph's University Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Vinay Shah was last updated on August 16, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.