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Contact Information

LYDIA SHAJENKO, MD
725 RIVER RD STE 55
EDGEWATER, NJ07020-1121
 Phone: 646-712-1635
 Fax: 866-267-8173
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for LYDIA SHAJENKO · (Female)

NPI Number 1841289634
Status Active
Credentials MD
Entity Individual
Enumeration date 10/14/2005
Last updated 10/26/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA08061700
  • NY License # 216559
  • NJ Medicaid 01484083
Hospital affiliation(s)
  • HACKENSACK UNIVERSITY MEDICAL CENTER - (Acute Care)
    30 PROSPECT AVE
    HACKENSACK, NJ 07601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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