Individual provider Active NPI

Tulika S. Srivastava, M.D.

  • Child & Adolescent Psychiatry Physician
  • Englewood, NJ
National Provider Identifier
1598796963
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
25MA07208400 Issued in NJ
Practice address
93 W. Palisades Avenue
Englewood, NJ 07631
Phone
(201) 567-5000
Fax
(201) 384-7067
NPI assigned
Jul 5, 2006
Last updated
Sep 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 25MA07208400 NJ Primary

Addresses

Primary practice location

93 W. Palisades Avenue
Englewood, NJ 07631

Mailing address

2 Park Ave
Dumont, NJ 07628-3004
Phone (201) 385-4400

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
I20031201000287 NJ Practitioner - Psychiatry 0749185049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vantage Health System, IncGroup PAC ID 8325033178, 12 clinicians

Practice addresses (Care Compare)

2 Park Ave
Dumont, NJ 07628-3004
Phone (201) 385-4400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Health System, Inc. CurrentSince Apr 5, 2018 Accepting new patients
Vantage Health System, Inc CurrentSince Apr 5, 2018 Accepting new patients
Advanced Psychiatric Associates, LLC CurrentSince Oct 6, 2018 Accepting new patients
Hackensack Psychiatric Group LLC PastSince Oct 6, 2018 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC PastSince Aug 28, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC PastSince Oct 23, 2022 Accepting new patients

Locations

2 Park Ave
Dumont, NJ 07628
Phone (201) 385-4400

93 W Palisade Ave
Englewood, NJ 07631
Phone (201) 385-4400

65 Harristown Rd
Ste 1
Glen Rock, NJ 07452

65 Harristown Rd
Ste 101
Glen Rock, NJ 07452
Phone (201) 487-1240

211 Essex St
Ste 204
Hackensack, NJ 07601
Phone (201) 487-1240

Organizations & group practices 6

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1598796963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARK AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076283004",
            "telephone_number": "201-385-4400",
            "fax_number": "201-384-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 W. PALISADES AVENUE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-567-5000",
            "fax_number": "201-384-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "TULIKA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA07208400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.