Individual provider Active NPI

Shivani Malhotra Borhara, MFT

  • Marriage & Family Therapist
  • Marlton, NJ
National Provider Identifier
1629688932
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37FI00223800 Issued in NJ
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240701000061 NJ Practitioner - Marriage and Family Therapist 2567906639 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001208NYMDBehavioral Analyst
37FI00223800NJMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD New Jersey Psychiatry Services LLC CurrentSince May 23, 2024 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.

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

Verify at the official NPI Registry.