Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dr. Andrew Shaw Benotakeia, MD

Individual provider Psychiatry Physician · NPI 1568112654

Dr. Andrew Shaw Benotakeia, MD is a Psychiatry Physician in Ridgewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2022.

Licensed in
NJ
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1200 E Ridgewood Ave Ste 108
Ridgewood, NJ 07450-3937
Phone: (201) 301-6289
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 25MA13158200 (NJ)

Record details

NPI number1568112654
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2022
Last updated in NPPESSeptember 1, 2026
Certification dateSeptember 1, 2026

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