Active NPI
Lina Shihabuddin MD LLC
- Geriatric Psychiatry Physician
- Newark, NJ
National Provider Identifier
1538264890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- Legal business name
- LINA SHIHABUDDIN MD LLC
- Practice address
- 495 N 13TH St
Newark, NJ 07107-1317 - Phone
- (973) 268-2492
- NPI assigned
- Sep 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lina Shihabuddin, MD
- Title
- Owner
- Phone
- (973) 268-2492
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | NJ | Primary |
Addresses
Primary practice location
495 N 13TH St
Newark, NJ 07107-1317
Mailing address
6 Ironwood Rd
Short Hills, NJ 07078-1020
Phone (973) 268-2492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
156 Lyons Ave
Newark, NJ 07112
Phone (201) 436-3900
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Psychiatry Physician
- Newark, NJ
- NPI 1528014925
-
- Cardiovascular Disease Physician
- West Orange, NJ
- NPI 1215900774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1538264890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 IRONWOOD RD",
"city": "SHORT HILLS",
"state": "NJ",
"postal_code": "070781020",
"telephone_number": "973-268-2492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 N 13TH ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071071317",
"telephone_number": "973-268-2492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINA SHIHABUDDIN MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHIHABUDDIN",
"authorized_official_first_name": "LINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-268-2492",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.