MYRTLE HEALTH KY LLC
NPI 1477489664
Psychiatry & Neurology - Psychiatry in Lakewood, NJ

Active since June 23, 2026
1382 LANES MILL RD STE 104, LAKEWOOD, NJ 08701(212) 734-6621 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Myrtle Health Ky Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYRTLE HEALTH KY LLC (NPI 1477489664) is a healthcare organization registered as a psychiatry in Lakewood, New Jersey and active in the NPI registry since June 2026. The organization lists Edward Shumulinskiy, Md, as its authorized official.

NPPES Registry Identity

NPI1477489664
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameMYRTLE HEALTH KY LLC
Location Address1382 LANES MILL RD STE 104Lakewood, NJ 08701-3893
Mailing Address1382 Lanes Mill Rd Ste 104Lakewood, NJ 08701-3893
Organization SubpartNo
Authorized OfficialEdward ShumulinskiyMd · (732) 267-1643
Enumeration DateJune 23, 2026
NPPES CertifiedJune 23, 2026
NPI 1477489664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1382 LANES MILL RD STE 104, Lakewood, NJ 08701

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
1382 LANES MILL RD STE 104
LAKEWOOD, NJ 08701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477489664, enumerated as an "organization" on June 23, 2026.

The provider is located at 1382 LANES MILL RD STE 104 LAKEWOOD, NJ 08701 and the phone number is (212) 734-6621.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.