Shajenko, Lydia
Shajenko, Lydia is an individual health care provider with primary practice located at 725 River Rd Ste 55 , Edgewater NJ 07020-1121. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is her primary health care specialty. Shajenko, Lydia can be contacted via phone (646) 712-1635.Contact Information
Primary practice address
725 River Rd Ste 55
Edgewater NJ 07020-1121
Phone: (646) 712-1635
Fax: (866) 267-8173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 216559 | New York |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 25MA08061700 | New Jersey |
Profile Details
| NPI number | 1841289634 |
|---|---|
| LBN Legal business name | Shajenko, Lydia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Oct 26th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841289634 | NPPES |
| New Jersey | MEDICAID | 01484083 |
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