Active NPI
Dr Tayeba Shaikh
- Psychologist
- West Orange, NJ
National Provider Identifier
1629622477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- DR TAYEBA SHAIKH
- Practice address
- 623 Eagle Rock Ave
West Orange, NJ 07052-2948 - Phone
- (513) 259-4711
- Fax
- (201) 228-9980
- NPI assigned
- Jul 30, 2019
- Last updated
- Sep 3, 2019
- 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
- Tayeba Shaikh Alhoch, PSY D
- Title
- Owner
- Phone
- (513) 259-4711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
623 Eagle Rock Ave
West Orange, NJ 07052-2948
Mailing address
206 Bloomfield Ave Apt 301
Bloomfield, NJ 07003-5761
Phone (513) 259-4711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04789924 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567468800000",
"number": "1629622477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 BLOOMFIELD AVE APT 301",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070035761",
"telephone_number": "513-259-4711",
"fax_number": "201-228-9980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 EAGLE ROCK AVE",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522948",
"telephone_number": "513-259-4711",
"fax_number": "201-228-9980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR TAYEBA SHAIKH",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-30",
"last_updated": "2019-09-03",
"status": "A",
"authorized_official_last_name": "ALHOCH",
"authorized_official_first_name": "TAYEBA",
"authorized_official_middle_name": "SHAIKH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "513-259-4711",
"authorized_official_credential": "PSY D"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04789924",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.