Provider Demographics
NPI:1154372621
Name:SHAH, NILAY RAMESH (MD)
Entity type:Individual
Prefix:DR
First Name:NILAY
Middle Name:RAMESH
Last Name:SHAH
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:255 W SPRING VALLEY AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:MAYWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07607-1444
Mailing Address - Country:US
Mailing Address - Phone:201-880-8060
Mailing Address - Fax:201-880-8061
Practice Address - Street 1:255 W SPRING VALLEY AVE STE 102
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07607-1444
Practice Address - Country:US
Practice Address - Phone:201-880-8060
Practice Address - Fax:201-301-8892
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2278522084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02472966Medicaid
NY02472966Medicaid
NY02472966Medicaid