Individual provider Active NPI

Mehnaz Waseem, M.D

  • Psychiatry Physician
  • Orangeburg, NY
National Provider Identifier
1174810873
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
AB2268301-159 Issued in NJ
Practice address
140 Old Orangeburg Rd
Orangeburg, NY 10962-1157
Phone
(845) 359-1000
NPI assigned
Jul 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X AB2268301-159 NJ Primary

Addresses

Primary practice location

140 Old Orangeburg Rd
Orangeburg, NY 10962-1157

Mailing address

43 W Wildwood Rd
Saddle River, NJ 07458-2511
Phone (347) 613-9210

Other practice location 1

140 N State Rt 17 Ste 250
Paramus, NJ 07652-2821
Phone (347) 613-9210

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
I20150615000833 NJ Practitioner - Psychiatry 9234440421 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AB2268301-159NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services - St. Mary'S Passaic, LLC CurrentSince Aug 1, 2015 Accepting new patients
Prime Healthcare Services - St. Mary'S Passaic LLC CurrentSince Aug 1, 2015 Accepting new patients
Bergen County Improvement Authority Psychiatry CurrentSince Aug 1, 2015 Accepting new patients
Bergen County Improvement Authority CurrentSince Aug 1, 2015 Accepting new patients
Nys Office of Mental Health Past Accepting new patients

Locations

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

Organizations & group practices 5

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": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1174810873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 W WILDWOOD RD",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074582511",
            "telephone_number": "347-613-9210",
            "fax_number": "201-225-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 OLD ORANGEBURG RD",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621157",
            "telephone_number": "845-359-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 N State Rt 17 Ste 250",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076522821",
            "country_code": "US",
            "telephone_number": "347-613-9210",
            "fax_number": "201-225-2556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASEEM",
        "first_name": "MEHNAZ",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "AB2268301-159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, NY

Sources for this page

Verify at the official NPI Registry.