Active NPI
Shaila Maddaiah Maddaiah, MD
- Psychiatry Physician
- Princeton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA05097600
- Practice address
- 120 John Street
Family & Childrens Services of Central NJ
Princeton, NJ 08542-3132 - Phone
- (609) 924-2098
- Fax
- (609) 924-7826
- NPI assigned
- Aug 31, 2006
- Last updated
- May 15, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA05097600 | NJ | Primary |
Addresses
Primary practice location
120 John Street
Family & Childrens Services of Central NJ
Princeton, NJ 08542-3132
Mailing address
20 Dorland Farm Court
Skillman, NJ 08558
Phone (609) 924-2098
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1047302 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1982
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
819 Alexander Rd
Princeton, NJ 08540-6303
Phone (609) 452-2088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05097600 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health - Behavioral Health | Psychiatry | Current | Accepting new patients |
| Association for Advancement of Mental Health | Current | Accepting new patients | |
| Rutgers Health - Behavioral Health | Psychiatry | Current | Accepting new patients |
Locations
303 George St
Fl 2
New Brunswick, NJ 08901
Phone (732) 235-6800
183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004
667 Hoes Ln W
Piscataway, NJ 08854
Phone (732) 235-5730
819 Alexander Rd
Princeton, NJ 08540
Phone (609) 452-2088
Interoperability endpoints
- smaddaiah387916@epicdirect.rwjbh.org
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Westampton, NJ
- NPI 1255427647
-
- Community/Behavioral Health Agency
- Princeton, NJ
- NPI 1215089487
-
- Psychiatry Physician
- Cherry Hill, NJ
- NPI 1891956298
-
- Psychiatry Physician
- Piscataway, NJ
- NPI 1144267337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337040000000",
"number": "1760594766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 DORLAND FARM COURT",
"city": "SKILLMAN",
"state": "NJ",
"postal_code": "08558",
"telephone_number": "609-924-2098",
"fax_number": "609-924-7826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 JOHN STREET",
"address_2": "FAMILY & CHILDRENS SERVICES OF CENTRAL NJ",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085423132",
"telephone_number": "609-924-2098",
"fax_number": "609-924-7826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDAIAH",
"first_name": "SHAILA",
"middle_name": "MADDAIAH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2012-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA05097600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1047302",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.