Active NPI
Shivani Malhotra Borhara, MFT
- Marriage & Family Therapist
- Marlton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 37FI00223800
- Practice address
- 525 Route 73 N Ste 117
Marlton, NJ 08053-3422 - Phone
- (917) 634-5311
- NPI assigned
- Aug 3, 2020
- Last updated
- Nov 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001208 | NY | |
| Marriage & Family Therapist | 106H00000X | 37FI00223800 | NJ | Primary |
Addresses
Primary practice location
525 Route 73 N Ste 117
Marlton, NJ 08053-3422
Mailing address
PO Box 24449
New York, NY 10087-0589
Phone (917) 634-5311
Other practice location 1
4710 111th St Fl 2
Corona, NY 11368-2921
Phone (347) 421-2227
Other names 1
- Shivani Malhotra
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001208 | NY | MD | Behavioral Analyst |
| 37FI00223800 | NJ | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD New Jersey Psychiatry Services LLC | Current | Accepting new patients | |
| The Mahogany Projek, LLC | Past | Accepting new patients |
Locations
53 Frontage Rd
Fl 1
Hampton, NJ 08827
Phone (908) 386-2572
525 Route 73 N
Ste 117
Marlton, NJ 08053
Phone (609) 200-0444
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
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.
-
dba Talkiatry
- Psychiatry Physician
- Hampton, NJ
- NPI 1023729530
-
dba I Sea The Sun, LLC
- Community/Behavioral Health Agency
- Chesapeake, VA
- NPI 1053891333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1629688932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24449",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100870589",
"telephone_number": "917-634-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 ROUTE 73 N STE 117",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080533422",
"telephone_number": "917-634-5311"
}
],
"practiceLocations": [
{
"address_1": "4710 111th St Fl 2",
"address_purpose": "LOCATION",
"city": "Corona",
"state": "NY",
"postal_code": "113682921",
"country_code": "US",
"telephone_number": "347-421-2227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORHARA",
"first_name": "SHIVANI",
"middle_name": "MALHOTRA",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "001208",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NJ",
"license": "37FI00223800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHIVANI",
"last_name": "MALHOTRA",
"credential": "MFT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.