Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nilay Ramesh Shah, MD

Individual provider Clinical Neurophysiology Physician · NPI 1154372621

Dr. Nilay Ramesh Shah, MD is a Neurology in Fair Lawn, New Jersey. Qualified in 1998, 28 years ago. Practices with Sovereign Medical Group LLC, a 20-clinician group, works from 2 locations and offers telehealth. Licensed in New York.

Years since qualifying
28
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

14-01 Broadway Ste B
Fair Lawn, NJ 07410-2001
Phone: (201) 791-4544
Fax: (201) 301-8892
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 255 W Spring Valley Ave Ste 102, Maywood, NJ 07607-1444 — (201) 880-8060

Specialties & licences

Clinical Neurophysiology Physician (primary) Taxonomy 2084N0600X · Licence 227852 (NY)

Record details

NPI number1154372621
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing address255 W Spring Valley Ave Ste 102, Maywood, NJ 07607-1444

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Sovereign Medical Group Llc — 20 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations16 on file with Medicare