Yeshuschandra R Dhaibar, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA06757100 Issued in NJ

Practice address

622 Eagle Rock Ave
West Orange, NJ 07052-2994

Phone

(973) 699-1100

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Specialty

Psychiatry

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Oaks Hospital IncGroup PAC ID 8628047685, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Summit Oaks Hospital Inc

  • Psychiatric Hospital
  • Summit, NJ
  • NPI 1205880200
  Medicare reassignment Care Compare group NPD
• Newbridge Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parsippany, NJ
  • NPI 1255676201
  NPD (past)
• St Marys Hospital

  • General Acute Care Hospital
  • Passaic, NJ
  • NPI 1699748996

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1831259282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074440336",
            "telephone_number": "973-686-2200",
            "fax_number": "973-686-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 EAGLE ROCK AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522994",
            "telephone_number": "973-699-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAIBAR",
        "first_name": "YESHUSCHANDRA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA06757100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherley Desrouleaux
• Solande Destin, PMHN-BC
• Claudine Destine, APRN
• Developmental Disabilities Association of NJ Inc.
• Pooja Devi, MD
• Diabetic Foot & Ankle Centers of NJ LLC
• Diagnostic & Clinical Cardiology, PA
• Dialysis Center of West Orange LLC
• Ozzie Alexander Diaz, MS, ATC
• Erik Dienna, M.D.

• Psychiatry Physician in West Orange, NJ
• Providers in West Orange, 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 Mar 26, 2013; 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.

Verify at the official NPI Registry.