Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LYDIA SHAJENKO, M.D.
ActiveDR. LYDIA SHAJENKO, M.D. is a Clinical Neurophysiology healthcare provider located in EDGEWATER, New Jersey. NPI 1841289634 is currently active in the NPPES registry. Verify at CMS.
Clinical Neurophysiology · EDGEWATER, NJ
Registration Details
- NPI Number
- 1841289634
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 14, 2005 (20.859359714144 yrs)
- Last Updated
- Oct 26, 2017
- Licenses
-
216559 (NY)25MA08061700 (NJ)
Practice Information
- Address
-
725 RIVER RD STE 55EDGEWATER, NJ, 070201121Browse NJ providers · Browse ZIP 07020
- Phone
- 6467121635
- Fax
- 8662678173
- Primary Specialty
-
Clinical Neurophysiology
2084N0600X
- Additional Specialty
- Clinical Neurophysiology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.