Individual provider Active NPI

Shashikala Abkari, MD

  • Psychiatry Physician
  • Pomona, NY
National Provider Identifier
1831281799
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
158493 Issued in NY
Practice address
50 Sanitorium Rd
Building F - Room 240
Pomona, NY 10970-3555
Phone
(845) 364-2430
NPI assigned
Sep 29, 2006
Last updated
Jul 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 158493 NY Primary

Addresses

Primary practice location

50 Sanitorium Rd
Building F - Room 240
Pomona, NY 10970-3555

Mailing address

804 Ellenlane Court
Rivervale, NJ 07675-3555
Phone (201) 307-8574

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
I20120423000242 NJ Practitioner - Psychiatry 4486821865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of EssexGroup PAC ID 7214837061, 11 clinicians

Practice addresses (Care Compare)

204 Grove Ave
Cedar Grove, NJ 07009-1436
Phone (973) 571-2833

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Essex Current Accepting new patients
County of Essex CurrentSince Mar 1, 2016 Accepting new patients
County of Essex Current Accepting new patients
County of Essex Psychiatry CurrentSince Mar 1, 2016 Accepting new patients

Locations

204 Grove Ave
Cedar Grove, NJ 07009
Phone (973) 571-2800

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1831281799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 ELLENLANE COURT",
            "city": "RIVERVALE",
            "state": "NJ",
            "postal_code": "076753555",
            "telephone_number": "201-307-8574",
            "fax_number": "201-307-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SANITORIUM RD",
            "address_2": "BUILDING F - ROOM 240",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703555",
            "telephone_number": "845-364-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABKARI",
        "first_name": "SHASHIKALA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "158493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

Verify at the official NPI Registry.