Individual provider Active NPI

Rebekah Katsandris, MD

  • Psychiatry Physician
  • Secaucus, NJ
National Provider Identifier
1508447863
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA12478100 Issued in NJ
Practice address
595 County Ave
Secaucus, NJ 07094-2605
Phone
(201) 369-5252
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 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 25MA12478100 NJ Primary

Addresses

Primary practice location

595 County Ave
Secaucus, NJ 07094-2605

Mailing address

173 Prospect Ave
Maywood, NJ 07607-1214
Phone (239) 560-9831

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
I20251203002301 NJ Practitioner - Psychiatry 1153814660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Hudson Co Board of Chosen Freehold AdminGroup PAC ID 7810081288, 5 clinicians

Practice addresses (Care Compare)

595 County Ave
Secaucus, NJ 07094-2605
Phone (201) 369-5252

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA12478100NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Co Board of Chosen Freehold Admin CurrentSince Nov 3, 2025 Accepting new patients

Locations

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1508447863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 PROSPECT AVE",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071214",
            "telephone_number": "239-560-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 COUNTY AVE",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942605",
            "telephone_number": "201-369-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSANDRIS",
        "first_name": "REBEKAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA12478100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Secaucus, NJ

Sources for this page

Verify at the official NPI Registry.