Individual provider Active NPI

Vivian Shnaidman, M.D.

  • Psychiatry Physician
  • Princeton, NJ
National Provider Identifier
1174706618
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
250MA6310500 Issued in NJ
Practice address
475 Wall St
Princeton, NJ 08540-1509
Phone
(609) 910-1715
Fax
(609) 964-1700
NPI assigned
Dec 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084B0040X 250MA6310500 NJ
Forensic Psychiatry Physician 2084F0202X 000025MA63105 NJ
Psychiatry Physician 2084P0800X 250MA6310500 NJ Primary

Addresses

Primary practice location

475 Wall St
Princeton, NJ 08540-1509

Mailing address

475 Wall St
Princeton, NJ 08540-1509
Phone (609) 910-1715

Other names 1

  • Vivian Chern Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051005000261 NJ Practitioner - PsychiatryPractitioner - Neurology 6002841160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jersey Forensic Consulting, LLCGroup PAC ID 7214111061, 2 clinicians

Practice addresses (Care Compare)

475 Wall St
Princeton, NJ 08540-1509
Phone (609) 910-1715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
250MA6310500NJMDBehavioral Neurology & Neuropsychiatry Physician
000025MA63105NJMDForensic Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Chemris, LCSW,LLC Single Specialty Past Accepting new patients
Triada Intergrative Medicine and Wellness LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1174706618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 WALL ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401509",
            "telephone_number": "609-910-1715",
            "fax_number": "609-964-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 WALL ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401509",
            "telephone_number": "609-910-1715",
            "fax_number": "609-964-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHNAIDMAN",
        "first_name": "VIVIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NJ",
            "license": "250MA6310500",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NJ",
            "license": "000025MA63105",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "250MA6310500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "CHERN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.