Individual provider Active NPI

Ulfat Shahzadi, M.D.

  • Psychiatry Physician
  • Orangeburg, NY
National Provider Identifier
1508271180
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA10429300 Issued in NJ
Practice address
2 1St Ave
Orangeburg, NY 10962-1106
Phone
(845) 680-4000
Fax
(845) 680-8905
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 296446-01 NY
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 25MA10429300 NJ Primary

Addresses

Primary practice location

2 1St Ave
Orangeburg, NY 10962-1106

Mailing address

230 E Ridgewood Ave BLDG 14
Paramus, NJ 07652-4142
Phone (201) 967-4080

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
I20191106002671 NJ Practitioner - Psychiatry 0244662534 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
296446-01NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen County Improvement Authority Psychiatry CurrentSince Aug 21, 2019 Accepting new patients
Bergen County Improvement Authority CurrentSince Aug 21, 2019 Accepting new patients
Hudson Co Board of Chosen Freehold Admin CurrentSince Feb 3, 2020 Accepting new patients
Nys Office of Mental Health Past Accepting new patients

Locations

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

230 E Ridgewood Ave
Bldg 10
Paramus, NJ 07652
Phone (201) 967-9020

230 E Ridgewood Ave
Bldg 14
Paramus, NJ 07652
Phone (201) 262-7108

595 County Ave
Secaucus, NJ 07094
Phone (201) 369-5252

Organizations & group practices 4

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1508271180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E RIDGEWOOD AVE BLDG 14",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524142",
            "telephone_number": "201-967-4080",
            "fax_number": "201-967-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 1ST AVE",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621106",
            "telephone_number": "845-680-4000",
            "fax_number": "845-680-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHZADI",
        "first_name": "ULFAT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "296446-01",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA10429300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, NY

Sources for this page

Verify at the official NPI Registry.