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

Individual provider Specialist · NPI 1164533659

Dr. Shan M Nagendra, MD is a Neurology in Clifton, New Jersey. Qualified in 1970, 56 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
56
Licensed in
NJ, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

246 Barkley Ave
Clifton, NJ 07011-3136
Phone: (862) 899-7531
Fax: (973) 685-7370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 142050 (NY)
Specialist Taxonomy 174400000X · Licence 25MA03001300 (NJ)

Record details

NPI number1164533659
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 31, 2006
Last updated in NPPESNovember 11, 2020
Certification dateNovember 11, 2020

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Also practisesANESTHESIOLOGY, INTERNAL MEDICINE, INTERVENTIONAL PAIN MANAGEMENT, NEUROPSYCHIATRY
Medical schoolOTHER
Graduated 1970 (56 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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