DR. LYDIA SHAJENKO (NPI# 1841289634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841289634 |
Entity Type | Individual |
Full Name | DR. LYDIA SHAJENKO |
Credential | M.D. |
Practice Address |
725 River Rd Ste 55 Edgewater NJ 07020-1121 |
Practice Telephone | 6467121635 |
Practice Fax Number | 8662678173 |
Mailing Telephone | 6467121635 |
Mailing Fax Number | 8662678173 |
Enumeration Date | 2005-10-14 |
Last Update Date | 2017-10-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
216559 | NY | Allopathic & Osteopathic Physicians |
Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
25MA08061700 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 01484083 | 05 |
Street Address |
725 RIVER RD STE 55 |
City | EDGEWATER |
State | NJ |
Zip Code | 07020-1121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437587037 | Comprehensive Medical and Imaging Group PC | Clinic/Center | 725 River Rd Ste 55, Edgewater, NJ 07020-1121 | 2013-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851737167 | One Hudson Medical Associates | Non-Pharmacy Dispensing Site | 1829 Hudson Park, Edgewater, NJ 07020 | 2013-05-14 |
1003164666 | Daisy Flores | Speech-Language Pathologist | 116 Panorama Drive, Edgewater, NJ 07020 | 2012-08-29 |
1518188622 | Barbara Nan Altman | Social Worker | 309 Thornton Court, Edgewater, NJ 07020 | 2007-05-02 |
1124173950 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 70 The Promenade Ste C5a, Edgewater, NJ 07020 | 2007-01-24 |
1104983717 | Edgewater Pediatrics PC | Pediatrics | 115 River Road, Suite 1003 Building #10, Edgewater, NJ 07020 | 2007-01-02 |
1255402293 | Skyview Dental Center LLP | Dentist | 880 River Road, 2nd Floor, Edgewater, NJ 07020 | 2006-11-13 |
1043228588 | Irfan Admani | Internal Medicine | 103 River Road, Edgewater, NJ 07020 | 2006-08-03 |
1851316319 | Duane Reade | Durable Medical Equipment & Medical Supplies | 11 Edgewater Towne Ctr, Edgewater, NJ 07020 | 2006-07-13 |
1679502215 | 968 River Road Radiology | Clinic/Center | 968 River Road, Edgewater, NJ 07020 | 2006-07-03 |
1447219191 | Corinne Jeanette Gehegan | Podiatrist | 725 River Road, Suite 201-a, Edgewater, NJ 07020 | 2006-03-21 |
Find all providers in zip 07020 |
Taxonomy Code | 2084N0600X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Clinical Neurophysiology |
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992908263 | Riverfront Medical Associates PC | Psychiatry & Neurology | 725 River Rd, Suite 106, Edgewater, NJ 07020-1171 | 2007-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801410154 | Synergy Surgical Associates, LLC | Psychiatry & Neurology | 1247 Ratzer Rd, Wayne, NJ 07470-2311 | 2020-06-02 |
1871139469 | Advanced Neuromonitoring, LLC | Psychiatry & Neurology | 160 E Hanover Ave Ste 201, Morristown, NJ 07960-3150 | 2019-11-19 |
1831355981 | Volker Armin Knappertz | Psychiatry & Neurology | 22 Three Gables Rd, Morristown, NJ 07960-6505 | 2008-07-29 |
1386679942 | Iman S Youssef | Psychiatry & Neurology | 24 Marshall Dr, Egg Harbor Twp, NJ 08234-6002 | 2006-07-12 |
1154372621 | Nilay Ramesh Shah | Psychiatry & Neurology | 255 W Spring Valley Ave Ste 102, Maywood, NJ 07607-1444 | 2006-05-12 |
1205471547 | Khh Medical Care PC. | Psychiatry & Neurology | 1 Bridge Plz N Ste 275, Fort Lee, NJ 07024-7586 | 2019-11-11 |
1538600606 | Neuroshield Network Se LLC | Psychiatry & Neurology | 700 Us Highway 46, Suite 420, Fairfield, NJ 07004-1591 | 2017-03-09 |
1134668981 | Complete Neurological Care of Nj PC | Psychiatry & Neurology | 124 Gregory Ave, Suite 203, Passaic, NJ 07055-4856 | 2017-02-13 |
1528510807 | Epilepsy & Behavior Neurological Services LLC | Psychiatry & Neurology | 90 Paterson St, Suite 100, New Brunswick, NJ 08901-2109 | 2016-11-02 |
1508273327 | Hackensack Epilepsy Center PC | Psychiatry & Neurology | 260 Old Hook Rd, Suite 200, Westwood, NJ 07675-3123 | 2014-07-14 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. LYDIA SHAJENKO.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.