MEDICARE: KMK PSYCHIATRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1114875226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KMK PSYCHIATRY

Provider Business Mailing Address
First Line	:	60 W RIDGEWOOD AVE STE 2
Second Line	:
City	:	RIDGEWOOD
State	:	NJ
Zip	:	07450-3124
Country	:	US
Telephone Number	:	731-451-0001
Fax Number	:

Provider Business Practice Location Address
First Line	:	60 W RIDGEWOOD AVE STE 2
Second Line	:
City	:	RIDGEWOOD
State	:	NJ
Zip	:	07450-3124
Country	:	US
Telephone Number	:	731-451-0001
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KHUSHBU MAJMUNDAR
Credential	:	MD
Telephone Number	:	201-438-3038

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

Similar Medicare Providers

1386760163 — DR. YOUNG JIN HAHN DMD
Practice Location Address:

60 W RIDGEWOOD AVE STE 2
RIDGEWOOD, NJ
07450-3124

Practice Phone: 201-652-3311
Practice Fax: 201-652-1893

1003808510 — KAREN E KOPLIN CNP
Practice Location Address:

3632 RIDGEWOOD RD
FAIRLAWN, OH
44333-3124

Practice Phone: 330-666-6266
Practice Fax: 330-666-6265

1992732325 — AKRON NEUROLOGY, INC.
Practice Location Address:

3632 RIDGEWOOD RD
FAIRLAWN, OH
44333-3124

Practice Phone: 330-666-6266
Practice Fax: 330-666-6265

1972687929 — JOSEPH LAWRENCE PANZNER MD
Practice Location Address:

3632 RIDGEWOOD RD
FAIRLAWN, OH
44333-3124

Practice Phone: 330-666-4158
Practice Fax: 330-668-2256

1801936638 — DR. JENNIFER A HAZELWOOD UGARTE OD
Practice Location Address:

3612 RIDGEWOOD RD
FAIRLAWN, OH
44333-3124

Practice Phone: 330-668-0150
Practice Fax:

1487908000 — AMANDA LYNN STAUDT CNP
Practice Location Address:

3632 RIDGEWOOD RD
FAIRLAWN, OH
44333-3124

Practice Phone: 330-666-6266
Practice Fax: 330-666-6265

Directions to “KMK PSYCHIATRY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.