Active NPIIndividual provider

Dr. Lydia Shajenko, MD

Healthcare Provider in Edgewater, New Jersey

NPI Number1841289634
Practice location
725 River RD Ste 55, Edgewater, NJ 07020-1121
Fax
866-267-8173
Last updated
October 26, 2017

Lydia Shajenko is a Healthcare Provider based in Edgewater, NJ. Lydia Shajenko practices in Edgewater, NJ and has the professional credentials of MD. The NPI Number for Lydia Shajenko is 1841289634 and holds a License No. 216559 (NY). The current practice location address for Lydia Shajenko is 725 River RD Ste 55, Edgewater, NJ 07020-1121 and can be reached out via phone at 646-712-1635 and via fax at 866-267-8173.

Provider Profile Details

NPI Number
1841289634
Provider Name
Lydia Shajenko
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
725 River RD Ste 55, Edgewater, NJ 07020-1121
Phone Number
646-712-1635
Fax Number
866-267-8173
Primary Taxonomy
Healthcare Provider · 2084N0600X
Sole Proprietor
No
Provider Enumeration Date
October 14, 2005
Last Update Date
October 26, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
725 River RD Ste 55
Edgewater, NJ 07020-1121
Zip
07020-1121
Phone Number
646-712-1635
Fax Number
866-267-8173
Edgewater, NJ 07020Get directions →

Provider Business Mailing Address Details

Address
725 River RD Ste 55
Edgewater, NJ 07020-1121
City
Edgewater
State
NJ
Zip
07020-1121
Phone Number
646-712-1635
Fax Number
866-267-8173

License Information

License Number (1)
216559
License State (1)
NY
Taxonomy (1)
Psychiatry & Neurology, Neurology · 2084N0400X
License Number (2)
25MA08061700
License State (2)
NJ
Taxonomy (2)
· 2084N0600X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Lydia Shajenko, MD?

The NPI number of Dr. Lydia Shajenko, MD is 1841289634. It was assigned on October 14, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Lydia Shajenko, MD?

Dr. Lydia Shajenko, MD is registered under the primary taxonomy Healthcare Provider (code 2084N0600X), licensed in NY under license number 216559.

Where does Dr. Lydia Shajenko, MD practice?

The practice location is 725 River RD Ste 55, Edgewater, NJ 07020-1121. The office can be reached at 646-712-1635 (phone) or 866-267-8173 (fax).

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 1841289634 directly on the NPPES registry website.

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