Active NPI
Farida Ghadiali, M.D.
- Psychiatry Physician
- West Trenton, NJ
National Provider Identifier
1518055482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MA037322
- Practice address
- Sullivan Way
West Trenton, NJ 08628 - Phone
- (609) 633-1502
- Fax
- (609) 777-4095
- NPI assigned
- Oct 10, 2006
- Last updated
- Dec 19, 2007
- 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 | MA037322 | NJ | Primary |
Addresses
Primary practice location
Sullivan Way
West Trenton, NJ 08628
Mailing address
6 Walnut Hollow LN
Holmdel, NJ 07733-1352
Phone (609) 633-2048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 717296C2D | Other | NJ | 'MEDICARE BILLING NO' |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA037322 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New Jersey Omb Centralized Payroll | Past | Accepting new patients | |
| Centerpath Wellness, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Plainfield, NJ
- NPI 1962459552
-
dba Trenton Psychiatric Hospital
- Psychiatric Hospital
- Trenton, NJ
- NPI 1467552240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198022400000",
"number": "1518055482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 WALNUT HOLLOW LN",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331352",
"telephone_number": "609-633-2048",
"fax_number": "609-777-4094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SULLIVAN WAY",
"city": "WEST TRENTON",
"state": "NJ",
"postal_code": "08628",
"telephone_number": "609-633-1502",
"fax_number": "609-777-4095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHADIALI",
"first_name": "FARIDA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2007-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "MA037322",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "'MEDICARE BILLING NO'",
"identifier": "717296C2D",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.