If $V=Nb$, then container volume is 4 times total volume of molecules, according to the geometry used in the reasoning of van der Waals real gas model.
Molecules of a gas ( or rather a fluid ) at such a state are not able to freely move anymore, forming for each other not passable obstacles. Therefore the statistical pressure model breaks down. Signs of this progressively occur when $V \gg Nb$ is not true any more and the former is approaching the latter.
Additionally, at such a density, intemolecularintermolecular interactions are not negligible.
Note that this and similar states are far, unjustified extrapolations of applicability of the van der Waals model. This model is not intended for high pressure or density/density nor states near the critical state, as the model breaks physically much sooner than mathematically.