Organization Active NPI

Creative Care Psychiatry

  • Psychiatry Physician
  • North Bergen, NJ
National Provider Identifier
1912861287
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CREATIVE CARE PSYCHIATRY
Practice address
1 Marine PLZ Ste 307
North Bergen, NJ 07047-6234
Phone
(201) 429-5773
Fax
(201) 425-3456
NPI assigned
Dec 11, 2025
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Dr. Bahar Hadjiesmaeiloo, MDNPI 1548585292
Title
Owner/Ao
Phone
(201) 429-5773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

1 Marine PLZ Ste 307
North Bergen, NJ 07047-6234

Mailing address

1 Marine PLZ Ste 307
North Bergen, NJ 07047-6234
Phone (201) 429-5773

National Provider Directory

National Provider Directory

Locations

1 Marine Plz
Ste 307
North Bergen, NJ 07047
Phone (201) 429-5773

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1912861287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MARINE PLZ STE 307",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476234",
            "telephone_number": "201-429-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MARINE PLZ STE 307",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476234",
            "telephone_number": "201-429-5773",
            "fax_number": "201-425-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CARE PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "HADJIESMAEILOO",
        "authorized_official_first_name": "BAHAR",
        "authorized_official_title_or_position": "OWNER/AO",
        "authorized_official_telephone_number": "201-429-5773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.