Healthcare Provider Details

I. General information

NPI: 1659937845
Provider Name (Legal Business Name): FARAH SHAIKH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2019
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 GEORGE ST STE 200
NEW BRUNSWICK NJ
08901-2009
US

IV. Provider business mailing address

7000 AVALON WAY APT 7402
PISCATAWAY NJ
08854-7027
US

V. Phone/Fax

Practice location:
  • Phone: 732-235-6800
  • Fax:
Mailing address:
  • Phone: 609-805-4497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA11565100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: