Provider Demographics
NPI:1710494570
Name:TAJDAR, REEMA
Entity type:Individual
Prefix:
First Name:REEMA
Middle Name:
Last Name:TAJDAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 HOOK MOUNTAIN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:PINE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07058-9462
Mailing Address - Country:US
Mailing Address - Phone:973-358-2121
Mailing Address - Fax:
Practice Address - Street 1:18 HOOK MOUNTAIN RD STE 100
Practice Address - Street 2:
Practice Address - City:PINE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07058-9462
Practice Address - Country:US
Practice Address - Phone:973-358-2121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-03
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC01182400101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health