Krishni De Thabrew, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

286790 Issued in NY

Practice address

650 E Palisade Ave Ste 2-162
Englewood Cliffs, NJ 07632-1830

Phone

(609) 941-2580

NPI assigned

Jul 10, 2012

Last updated

Nov 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1740545326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E PALISADE AVE STE 2-162",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076321830",
            "telephone_number": "609-941-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E PALISADE AVE STE 2-162",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076321830",
            "telephone_number": "609-941-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE THABREW",
        "first_name": "KRISHNI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "251682",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "286790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlene Cruz
• Derek J Cunningham, OT/R
• Doris Jean Danielson, D.M.D.
• Sarah Daoud, PA-C
• Naomi De Pompeo
• Deanne Confalone DMD PC
• Dentiq of Englewood Cliffs
• Donna Jean Destaso
• You Guang Ding, M.D
• Melanie Diniz

• Psychiatry Physician in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.

Verify at the official NPI Registry.