JAMEL GIBBS


Address: 300 Durham Ave, Metuchen, NJ 08840-1712
Phone: 7328779112

JAMEL GIBBS (NPI# 1255819793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255819793
Entity Type Individual
Full Name JAMEL GIBBS
Credential MS
Practice Address 300 Durham Ave
Metuchen
NJ 08840-1712
Practice Telephone 7328779112
Mailing Telephone 7328779112
Enumeration Date 2018-08-06
Last Update Date 2018-08-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY PROVISIONAL SCHOOL PSYCHOLOGIST CERTIFICATION 2859605 01

Office Location

Street Address 300 DURHAM AVE
City METUCHEN
State NJ
Zip Code 08840-1712

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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

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Competitor

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City METUCHEN
Zip Code 08840

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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