Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1740398775 Deactivated / Inactive NPI Male Practitioner

Dr. Vinodkumar A Shah , MD

Surgery • Fairfield, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Vinodkumar Shah has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 29, 2006
NPI Deactivation Date April 19, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Vinodkumar Shah, MD was a registered Surgery practicing in Fairfield, NJ. Throughout an active medical career spanning 13 years, Dr. Shah provided care at the practice location at 695 US HIGHWAY 46 until profile deactivation on 2019-04-19.

Practice Location & Contact Primary Location

Practice Address

695 Us Highway 46
Suite 400a

Fairfield, NJ 070041592

Telephone 9738941263
Fax 8889723703
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fairfield, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 55.0 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
9 Specialists

Practicing in Fairfield, NJ (815 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NJ 25MA03335100

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1063406874

Doctor of Medicine (M.D.)

NPI 1407076862

Doctor of Medicine (M.D.)

Myra Lazzaro , PA-C

Physician Assistant - Surgical

NPI 1447373907

Physician Assistant (Certified)

Petko Mitev , PA-C

Physician Assistant - Surgical

NPI 1881981348

Physician Assistant (Certified)

NPI 1972710366

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated April 19, 2019

Record deactivated on April 19, 2019

NPI Profile Active February 02, 2017

NPI status registered as active in NPPES database

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Updated Practice Location February 02, 2017

Registered at 695 US HIGHWAY 46, SUITE 400A, FAIRFIELD, NJ 070041592 (Tel: 9738941263)

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Updated Business Mailing Address February 02, 2017

Registered at PO BOX 4059, WAYNE, NJ 074744059 (Tel: 9738941263)

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Provider Name / Credentials Updated February 02, 2017

Recorded as VINODKUMAR SHAH, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2017

Surgery (License #25MA03335100 in NJ)

NPI Profile Active November 02, 2016

NPI status registered as active in NPPES database

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Updated Practice Location November 02, 2016

Registered at 695 US HIGHWAY 46, SUITE 400A, FAIRFIELD, NJ 070041592 (Tel: 9738941263)

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Updated Business Mailing Address November 02, 2016

Registered at PO BOX 4059, WAYNE, NJ 074744059 (Tel: 9738941263)

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Provider Name / Credentials Updated November 02, 2016

Recorded as VINODKUMAR SHAH, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2016

Surgery (License #25MA03335100 in NJ)

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Initial NPI Registration & Enumeration August 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740398775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2006
Last Update: November 02, 2016
Deactivation Date: April 19, 2019

Mailing Address

Po Box 4059

Wayne, NJ 074744059

Phone: 9738941263

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.