Individual
DR. SURAJ SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1200 E RIDGEWOOD AVE STE 303, RIDGEWOOD, NJ 07450-3937
(201) 689-7755
(201) 689-0521
Mailing address
1200 E RIDGEWOOD AVE STE 303, RIDGEWOOD, NJ 07450-3937
(201) 689-7755
(201) 689-0521
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MB12586600
NJ
207RP1001X
Pulmonary Disease Physician
25MB12586600
NJ
208M00000X
Hospitalist Physician
Primary
311832
NY
Other
Enumeration date
05/08/2018
Last updated
01/15/2026
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