Shaley Prem Sehgal, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

25MA08805800 Issued in NJ

Practice address

513 W Mount Pleasant Ave
Suite 325
Livingston, NJ 07039-1710

Phone

(973) 533-1195

Fax

(973) 533-1305

NPI assigned

Aug 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1508059411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 W MOUNT PLEASANT AVE",
            "address_2": "SUITE 325",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391710",
            "telephone_number": "973-533-1195",
            "fax_number": "973-533-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 W MOUNT PLEASANT AVE",
            "address_2": "SUITE 325",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391710",
            "telephone_number": "973-533-1195",
            "fax_number": "973-533-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEHGAL",
        "first_name": "SHALEY",
        "middle_name": "PREM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA08805800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Child & Adolescent Psychiatry Physician in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Child & Adolescent Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.