Individual provider Active NPI

Alena Antohina, MD

  • Psychiatry Physician
  • Wayne, NJ
National Provider Identifier
1891956652
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA08908600 Issued in NJ
Practice address
1501 Hamburg Tpke
Wayne, NJ 07470-4032
Phone
(862) 684-8484
Fax
(865) 904-8007
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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 254289 NY
Psychiatry Physician 2084P0800X 25MA08908600 NJ Primary

Addresses

Primary practice location

1501 Hamburg Tpke
Wayne, NJ 07470-4032

Mailing address

1501 Hamburg Tpke
Wayne, NJ 07470-4032
Phone (862) 684-8484

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
I20120621000588 NJ Practitioner - Psychiatry 9931363025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Jersey Behavioral Health PCGroup PAC ID 4284001025, 127 clinicians

Practice addresses (Care Compare)

95 N State RT
17 Suite 100
Paramus, NJ 07652-2648
Phone (732) 982-2888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08908600NJMDPsychiatry Physician
254289NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genpsych, Inc Psychiatry CurrentSince Oct 9, 2016 Accepting new patients
New Jersey Behavioral Health P.C CurrentSince Jul 16, 2024 Accepting new patients
PHC of Buffalo Grove Clinical Psychology Past Accepting new patients

Locations

150 Morristown Rd
Ste 108
Bernardsville, NJ 07924
Phone (844) 259-2366

380 Foothill Rd
Bridgewater, NJ 08807
Phone (908) 231-0511

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

981 US Highway 22
Bridgewater, NJ 08807
Phone (908) 231-0511

95 N State Rt 17
Ste 100
Paramus, NJ 07652
Phone (551) 368-0304

88 Princeton Hightstown Rd
Ste 202
West Windsor, NJ 08550
Phone (609) 497-4900

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.alenaantohina@148376.advancedmd-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1891956652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704032",
            "telephone_number": "862-684-8484",
            "fax_number": "865-904-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704032",
            "telephone_number": "862-684-8484",
            "fax_number": "865-904-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOHINA",
        "first_name": "ALENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "254289",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08908600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.