Individual provider Active NPI

Cynthia Jalando-on, M.D.

  • Psychiatry Physician
  • Wyckoff, NJ
National Provider Identifier
1780617415
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA07364900 Issued in NJ
Practice address
Christian Health Care Center
301 Sicomac Ave.
Wyckoff, NJ 07481
Phone
(201) 848-5800
Fax
(201) 848-5547
NPI assigned
Jul 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA07364900 NJ Primary
Psychiatry Physician 2084P0800X 216762 NY

Addresses

Primary practice location

Christian Health Care Center
301 Sicomac Ave.
Wyckoff, NJ 07481

Mailing address

93 Richard Dri.
Dumont, NJ 07628-1503
Phone (201) 848-5800

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111208000239 NJ Practitioner - Psychiatry 8820263544 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
216762NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Health Care Center CurrentSince Aug 5, 2002 Accepting new patients
Advent Christian Health Associates Psychiatry Past Accepting new patients

Locations

301 Sicomac Ave
Wyckoff, NJ 07481
Phone (201) 848-5200

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780617415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 RICHARD DRI.",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281503",
            "telephone_number": "201-848-5800",
            "fax_number": "201-848-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHRISTIAN HEALTH CARE CENTER",
            "address_2": "301 SICOMAC AVE.",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "07481",
            "telephone_number": "201-848-5800",
            "fax_number": "201-848-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALANDO-ON",
        "first_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07364900",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "216762",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyckoff, NJ

Sources for this page

Verify at the official NPI Registry.