Dr. Andrew S Benotakeia, MD
Psychiatry & Neurology, Psychiatry in Ridgewood, New Jersey
1568112654- Practice location
- 1200 E Ridgewood Ave Ste 108, Ridgewood, NJ 07450-3937
- Phone
- 201-301-6289
- Fax
- —
- Last updated
- September 1, 2026
Andrew Shaw Benotakeia is a Psychiatry & Neurology, Psychiatry based in Ridgewood, NJ. Andrew Shaw Benotakeia practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Andrew Shaw Benotakeia is 1568112654 and holds a License No. 25MA13158200 (NJ). The current practice location address for Andrew Shaw Benotakeia is 1200 E Ridgewood Ave Ste 108, Ridgewood, NJ 07450-3937 and can be reached out via phone at 201-301-6289.
Provider Profile Details
- NPI Number
- 1568112654
- Provider Name
- Andrew Shaw Benotakeia
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1200 E Ridgewood Ave Ste 108, Ridgewood, NJ 07450-3937
- Phone Number
- 201-301-6289
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- No
- Other Names
- Shaw Benotakeia, MD (Other Name)
- Provider Enumeration Date
- March 24, 2022
- Last Update Date
- September 1, 2026
- Certification Date
- September 1, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1200 E Ridgewood Ave Ste 108
Ridgewood, NJ 07450-3937 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-3937
- Phone Number
- 201-301-6289
Provider Business Mailing Address Details
- Address
- 1200 E Ridgewood Ave Ste 108
Ridgewood, NJ 07450-3937 - City
- Ridgewood
- State
- NJ
- Zip
- 07450-3937
- Phone Number
- 201-301-6289
License Information
- License Number
- 25MA13158200
- License State
- NJ
- Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Andrew S Benotakeia, MD?
The NPI number of Dr. Andrew S Benotakeia, MD is 1568112654. It was assigned on March 24, 2022 and is currently active in the NPPES registry.
What is the specialty of Dr. Andrew S Benotakeia, MD?
Dr. Andrew S Benotakeia, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NJ under license number 25MA13158200.
Where does Dr. Andrew S Benotakeia, MD practice?
The practice location is 1200 E Ridgewood Ave Ste 108, Ridgewood, NJ 07450-3937. The office can be reached at 201-301-6289 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568112654 directly on the NPPES registry website.