DR. PAYAL SHAH
NPI 1962406504
Specialist in Teaneck, NJ

Q: What is Payal Shah's NPI number?

The NPI number for Payal Shah is 1962406504. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Q: What is Payal Shah's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Payal Shah was last updated on September 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 10, 2005PECOS EnrolledAccepts Medicare Assignment

870 PALISADE AVE, TEANECK, NJ 07666(201) 907-0900(201) 907-0229 Get Directions Write a Review

NPPES record last updated: September 22, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Payal Shah NPPES

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

DR. PAYAL SHAH (NPI 1962406504) is an individual specialist in Teaneck, New Jersey, licensed in New Jersey (25MA07462300) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1962406504

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDR. PAYAL SHAH

Location Address870 PALISADE AVETeaneck, NJ 07666-3419

Mailing Address870 Palisade AveTeaneck, NJ 07666-3419 · (201) 907-0900 · Fax (201) 907-0229

Phone(201) 907-0900

Fax(201) 907-0229

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJune 10, 2005

Last NPPES UpdateSeptember 22, 2016

✔ NPI 1962406504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NJ · 25MA07462300

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

870 PALISADE AVE, Teaneck, NJ 07666

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Other Identifiers 14

Other3333547NJ · Aetna Hmo

Other192604NJ · Americaid Amerigroup

OtherP3170647NJ · Oxford

Other3K2381NJ · Healthnet

Other40752NJ · University Health Plans

Medicaid0031330NJ

Medicare PIN075354DQHNJ

Other0296694NJ · Ghi Ppo

OtherP00168608NJ · Railroad Medicare

Other60017889NJ · Horizon Nj Health

Other2342746000NJ · Amerihealth

Medicare UPINH98121NJ

Other7660480NJ · Aetna Ppo

Medicare PIN075354NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Dr. Payal Shah 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 ID7214820992

PECOS Enrollment IDI20040205000973

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

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

Excelcare Medical Associates, PA

0.6 mi

Internal Medicine

718 TEANECK RD
Teaneck, NJ 07666

Reassigned Medicare billing, New Jersey enrollment
233 clinicians in this Medicare group

NPI 1992736300 (201) 833-3000

Holy Name Medical Associates, PC

0.6 mi

Internal Medicine

718 TEANECK RD
Teaneck, NJ 07666

Reassigned Medicare billing, New Jersey enrollment
7 clinicians in this Medicare group

NPI 1427407600 (201) 833-3000

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

Areas of Expertise CMS Part B claims 7

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.

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328

A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.

100 services100 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

84 services84 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.

67 services67 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.

46 services46 patients

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.

44 services43 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

17 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310008

Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County

Emergency services Birthing friendly

Valley Hospital

Acute Care Hospitals · Paramus, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310012

Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County

Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310045

Location350 Engle StEnglewood, NJ 07631 · Bergen County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

100%408 patients5/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

98%161 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

39%458 patients2/55-star benchmark: 99%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

46%458 patients2/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

0%458 patients1/55-star benchmark: 59%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

DIABETES, ENDOCRINOLOGY, METABOLISM, SPECIALITIES, P.A.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

870 PALISADE AVE
TEANECK, NJ 07666

Bergen County (201) 836-5655

DR. MARK WIESEN M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

870 PALISADE AVE, SUITE 203
TEANECK, NJ 07666

Bergen County (201) 836-5655

DAVID WEINSTEIN

Dentist (Periodontics)

870 PALISADE AVE, SUITE 303
TEANECK, NJ 07666

Bergen County (201) 836-5200

DR. DENNIS L PFISTERER M.D.

Orthopaedic Surgery

870 PALISADE AVE, SUITE 205
TEANECK, NJ 07666

Bergen County (201) 836-1663

DR. AMALIA MARIA GONZALEZ-TINEO DO

Obstetrics & Gynecology

870 PALISADE AVE
TEANECK, NJ 07666

Bergen County (201) 907-0900

J.J. FERNANDEZ, LLC

Specialist

870 PALISADE AVE
TEANECK, NJ 07666

Bergen County (201) 907-0900

MICHAEL J. CONN, M.D., P.C.

Surgery (Plastic and Reconstructive Surgery)

870 PALISADE AVE, SUITE 203
TEANECK, NJ 07666

Bergen County (201) 836-9296

NAITIK D SHETH MD

Internal Medicine

870 PALISADE AVE
TEANECK, NJ 07666

Bergen County (201) 836-0897

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 Payal Shah's NPI number?

The NPI number for Payal Shah is 1962406504. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Payal Shah located?

Payal Shah practices at 870 Palisade Ave, Teaneck, NJ 07666. The listed phone number is (201) 907-0900.

What is Payal Shah's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Payal Shah enrolled in Medicare?

Yes. Payal 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 Payal Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Payal Shah reassigns Medicare benefits to 2 organizations: Excelcare Medical Associates, PA (Teaneck, NJ) and Holy Name Medical Associates, PC (Teaneck, 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 Payal Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Payal Shah accept?

Health plans from Oscar Health list Payal 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 Payal Shah affiliated with any hospitals?

According to CMS data, Payal Shah is affiliated with Hackensack University Medical Center, Holy Name Medical Center, Valley Hospital and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Payal Shah was last updated on September 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.