Active NPI
Karen Teitelman, DO
- Psychiatry Physician
- Woodbury, NJ
National Provider Identifier
1225114499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MB06828200
- Practice address
- 6 North Broad Street
Suite 301
Woodbury, NJ 08096 - Phone
- (856) 797-4721
- Fax
- (856) 797-4785
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MB06828200 | NJ | Primary |
Addresses
Primary practice location
6 North Broad Street
Suite 301
Woodbury, NJ 08096
Mailing address
1963 Vermont Avenue
Toms River, NJ 08755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8075409 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2020 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB06828200 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Family Guidance, PC | Psychiatry | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Psychiatry Physician
- Marlton, NJ
- NPI 1508803388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225114499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1963 VERMONT AVENUE",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "08755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 NORTH BROAD STREET",
"address_2": "SUITE 301",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "08096",
"telephone_number": "856-797-4721",
"fax_number": "856-797-4785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEITELMAN",
"first_name": "KAREN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MB06828200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8075409",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NJ
- Christine A Taylor, WHNP BC
- Dawn Taylor, MA, CCC-A
- Robert Brownlee Taylor
- Team Rehab P.a
- Patrick Teesdale Jr., CRNA
- David A Temmermand, DO
- Jacquelyn Terch
- The Center for Cancer & Hematologic Disease
- The Devereux Foundation (Devereux Advanced Behavioral Health)
- The Institute of Allergy,Immunology & Asthma for Adults and Children P
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.