Noreen Syeda Raja
Individual provider Active NPI Psychologist · Brick, NJ
NPI 1497636617 · NPPES record last updated Apr 28, 2026
Key facts
- NPI
- 1497636617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 35SI00790800 (NJ)
- Practice address
- 220 Jack Martin Blvd # E2
Brick, NJ 08724-7772 - Phone
- (732) 920-3434
- NPI assigned
- Sep 12, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shore Psychological Healthcare LLC
Practice addresses (Care Compare)
220 Jack Martin Blvd
E2
Brick, NJ 08724-7772
Phone (732) 920-3434
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251016005005 | NJ | Practitioner - Clinical Psychologist | 9335636893 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00790800 | NJ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shore Psychological Healthcare LLC | Current |
Accepting new patients |
Locations
220 Jack Martin Blvd
#E2
Brick, NJ 08724
1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 027775 | NY | |
| Psychologist | 103T00000X | 35SI00790800 | NJ | Yes |
Addresses
Primary practice location
220 Jack Martin Blvd # E2
Brick, NJ 08724-7772
Mailing address
9 Hale Rd
East Brunswick, NJ 08816-2900
Phone (718) 503-1204
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.