Active NPI 1962406504 Individual Practitioner Female Practitioner

Payal Shah

Specialist • Teaneck, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Payal Shah is a certified Specialist practicing in Teaneck, NJ. With approximately 28 years of clinical experience since completing medical education in 1998, Payal Shah delivers high-quality medical care to the local community at 870 PALISADE AVE.

Payal Shah is affiliated with Holy Name Medical Associates, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous, established patient outpatient office visit, cervical or vaginal cancer screening; pelvic and clinical breast examination. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

870 Palisade Ave

Teaneck, NJ 076663419

Telephone 2019070900

Fax 2019070229

Associated Practice Facility / Clinic

🏢 Azzariti, Kolsky Pedimedica Pa Facility NPI 1841291242

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Teaneck, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs -4.7 yrs vs City Avg

City Avg: 32.7 Yrs

State Avg: 35.6 Yrs

Regional Practice Density

71 Specialists

Practicing in Teaneck, NJ (1802 Statewide)

Telehealth Adoption Rate

8.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shah (28 Years) 28 Yrs

Teaneck Specialty Average (32.7 Years) 32.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	100	100	$55.90	$17.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	84	$425.00	$143.45
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	67	67	$135.00	$44.51
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	46	46	$150.00	$50.96
99213 Established patient office or other outpatient visit, typically 15 minutes	44	43	$300.00	$102.13
81002 Urinalysis, manual test	17	16	$15.00	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$550.00	$186.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	117	117	$57.82	$17.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	108	$425.00	$140.91
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	74	74	$150.00	$49.09
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	69	69	$135.00	$43.70
99213 Established patient office or other outpatient visit, typically 15 minutes	40	31	$300.00	$99.86
81002 Urinalysis, manual test	26	22	$15.00	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$550.00	$182.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	106	$426.27	$143.37
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	95	95	$64.79	$17.84
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	92	92	$135.00	$44.63
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	73	73	$150.27	$49.86
99213 Established patient office or other outpatient visit, typically 15 minutes	34	28	$300.59	$101.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$550.68	$180.35
81002 Urinalysis, manual test	12	12	$15.00	$3.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	112	$437.52	$145.13
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	90	90	$65.00	$18.05
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	72	72	$154.79	$49.85
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	63	63	$135.16	$44.84
99213 Established patient office or other outpatient visit, typically 15 minutes	46	36	$305.22	$103.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$565.00	$188.21
81002 Urinalysis, manual test	15	13	$15.00	$3.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	103	$368.61	$121.72
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	87	87	$63.51	$17.94
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	59	59	$123.81	$45.51
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	57	57	$153.51	$49.79
99213 Established patient office or other outpatient visit, typically 15 minutes	30	24	$252.67	$84.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$553.13	$184.33
81002 Urinalysis, manual test	12	11	$15.00	$3.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	112	$361.18	$119.40
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	103	103	$68.74	$17.69
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	79	79	$150.57	$49.66
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	76	76	$106.12	$43.70
99213 Established patient office or other outpatient visit, typically 15 minutes	46	37	$250.00	$82.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$538.32	$181.78
81002 Urinalysis, manual test	17	17	$15.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	128	$365.00	$119.01
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	104	104	$135.00	$19.25
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	94	94	$129.15	$42.33
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	82	82	$155.12	$50.29
99213 Established patient office or other outpatient visit, typically 15 minutes	37	31	$250.00	$80.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$555.00	$181.06
81002 Urinalysis, manual test	16	16	$15.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	141	$323.60	$118.58
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	114	114	$119.65	$21.38
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	90	90	$103.85	$42.40
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	74	74	$142.97	$50.70
81002 Urinalysis, manual test	27	26	$16.30	$3.43
99213 Established patient office or other outpatient visit, typically 15 minutes	26	20	$221.15	$75.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$402.27	$179.98

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NJ 25MA07462300

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0031330 (NJ)

Commercial Insurance / Payer ID Amerihealth

2342746000 (NJ)

Commercial Insurance / Payer ID Aetna Hmo

3333547 (NJ)

Commercial Insurance / Payer ID Americaid Amerigroup

192604 (NJ)

Commercial Insurance / Payer ID Horizon Nj Health

60017889 (NJ)

Commercial Insurance / Payer ID University Health Plans

40752 (NJ)

Commercial Insurance / Payer ID Oxford

P3170647 (NJ)

Commercial Insurance / Payer ID Aetna Ppo

7660480 (NJ)

Commercial Insurance / Payer ID Railroad Medicare

P00168608 (NJ)

Commercial Insurance / Payer ID Ghi Ppo

0296694 (NJ)

Hospital & Practice Group Affiliations

Holy Name Medical Associates, Pc

870 Palisade Ave, Teaneck, NJ 076663446

Phone: 2019070900

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Amalia Gonzalez-Tineo , DO

Obstetrics & Gynecology

NPI 1073191730

Doctor of Osteopathic Medicine (D.O.)

Robert Hirsch

Specialist

NPI 1184628729

Dr. Nicole Palomar , MD

Specialist

NPI 1417204645

Doctor of Medicine (M.D.)

Dr. Johanna Lee , DO

Specialist

NPI 1588076756

Doctor of Osteopathic Medicine (D.O.)

Dr. John Frattarola , MD

Specialist

NPI 1609836592

Doctor of Medicine (M.D.)

Dr. Sneha Sudanagunta , DO

Obstetrics & Gynecology

NPI 1760065965

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 22, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 22, 2016

Registered at 870 PALISADE AVE, TEANECK, NJ 076663419 (Tel: 2019070900)

📍

Updated Business Mailing Address September 22, 2016

Registered at 870 PALISADE AVE, TEANECK, NJ 076663419 (Tel: 2019070900)

👤

Provider Name / Credentials Updated September 22, 2016

Recorded as PAYAL SHAH

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2016

Specialist (License #25MA07462300 in NJ)

🟢

Initial NPI Registration & Enumeration June 10, 2005

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: 1962406504

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 10, 2005

Last Update: September 22, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

870 Palisade Ave

Teaneck, NJ 076663419

Phone: 2019070900

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.