Shyam Shah, D.M.D.
NPI 1104206010 · Dentist · Newark, NJ
Enrolled with Medicare as Order and Referring Only - Other (physician) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shyam Shah, D.M.D. is a Dentist provider in Newark, NJ (NPI 1104206010).
Provider details
- NPI number
- 1104206010
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 22DI02605700 (NJ)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
11 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$18 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 245 Paterson AveLittle Falls, NJ 07424-4629Phone: (973) 256-3912
Registry dates
- Enumerated
- 2015-06-05
- Last updated
- 2019-11-14
Frequently asked questions
- What is Shyam Shah's NPI number?
- Shyam Shah's National Provider Identifier (NPI) is 1104206010, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shyam Shah's specialty?
- Shyam Shah is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Shyam Shah located?
- Shyam Shah's practice location on file with NPPES is 110 Bergen St Rm B-854, Newark, NJ 07103-2495.
- What is Shyam Shah's phone number?
- The practice phone number listed in the NPPES registry for Shyam Shah is (973) 972-4717.
- Does Shyam Shah accept Medicare?
- Shyam Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shyam Shah's NPI active?
- Yes — Shyam Shah's NPI (1104206010) is active in the NPPES registry as of the last update on 2019-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.