NJ MEMORY CENTER, LLC (NPI# 1518425040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518425040 |
| Entity Type | Organization |
| Organization Name | NJ MEMORY CENTER, LLC |
| Practice Address |
80 Pompton Ave Ste 106 Verona NJ 07044-2913 |
| Practice Telephone | 2015778286 |
| Practice Fax Number | 2014790299 |
| Mailing Telephone | 2015778286 |
| Mailing Fax Number | 2014790299 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |
| Authorized Official Name | COREY J BURCHETTE (FOUNDER) |
| Authorized Official Telephone | 2015778286 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952869489 | Nj Memory Center, LLC | Psychologist | 80 Pompton Ave Ste 106, Verona, NJ 07044-2913 | 2019-03-04 |
| Street Address |
80 POMPTON AVE STE 106 |
| City | VERONA |
| State | NJ |
| Zip Code | 07044-2913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952869489 | Nj Memory Center, LLC | Psychologist | 80 Pompton Ave Ste 106, Verona, NJ 07044-2913 | 2019-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831726017 | John Roland Yeiser IIi | Student in an Organized Health Care Education/Training Program | Mountainside Family Practice Group, 799 Bloomfield Ave, 2nd Floor, Verona, NJ 07044 | 2020-03-26 |
| 1962989582 | Karen E Carlough | Massage Therapist | 80 Pompton Ave, 3rd Floor, Verona, NJ 07044 | 2018-07-26 |
| 1063935302 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Green Acres, #75, Verona, NJ 07044 | 2017-07-19 |
| 1891224150 | Karen Gorman | Counselor | 12 Kenwood Ave, Verona, NJ 07044 | 2017-06-08 |
| 1154706208 | Leonard Gallo | Counselor | 3 Overhill Rd, Verona, NJ 07044 | 2015-07-29 |
| 1932527082 | Ekta Sharma | Family Medicine | 799 Bloomfield Avenue, Ste 201, Verona, NJ 07044 | 2014-04-04 |
| 1457676454 | Nadine Lauer | Marriage & Family Therapist | 685 Bloomfield Ave, Suite 201, Verona, NJ 07044 | 2010-04-01 |
| 1003147026 | Anthony Goss | Occupational Therapist | 276 Linden Avenue, Verona, NJ 07044 | 2010-01-15 |
| 1487836243 | Jerome Geyer | Dentist | 338 Bloomfield Avenue, Verona, NJ 07044 | 2007-12-03 |
| 1942407861 | Satya D Narisety | Allergy & Immunology | 197 Bloomfield Avenue, Verona, NJ 07044 | 2007-07-03 |
| Find all providers in zip 07044 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487987665 | Sarah Jones | Psychologist | 10 Marlene Pl, Verona, VA 24482-2544 | 2009-09-07 |
| 1043418254 | Brooke Myers Sorger | Psychologist | 130 Pompton Ave, Verona, NJ 07044-2943 | 2007-07-10 |
| 1578774212 | Francesca Ann Peckman | Psychologist | 280 Bloomfield Avenue, Verona, NJ 07044 | 2007-05-24 |
| 1467471789 | Dennis D. Rasmussen | Psychologist | 3901 Meridian Cir, Verona, WI 53593-8656 | 2006-07-18 |
| 1134183627 | Hilary Knatz | Psychologist | 201 Bloomfield Ave, Verina, Verona, NJ 07044-2714 | 2006-04-13 |
| 1952869489 | Nj Memory Center, LLC | Psychologist | 80 Pompton Ave Ste 106, Verona, NJ 07044-2913 | 2019-03-04 |
| 1215345814 | Regina M. Budesa, Psyd, Limited Liability Company | Psychologist | 280 Bloomfield Ave, Verona, NJ 07044-2426 | 2014-07-27 |
| 1609299635 | Lina M. Aldana | Psychologist | 80 Pompton Ave, Suite 204, Verona, NJ 07044-2945 | 2014-01-27 |
| 1831535467 | The Sorger Group, LLC | Psychologist | 130 Pompton Ave, Verona, NJ 07044-2943 | 2013-05-22 |
| 1528199890 | Mountainside Family Practice Associates - Merit | Psychologist | 799 Bloomfield Avenue, Suite 201, Verona, NJ 07044-0000 | 2007-03-08 |
| Find all providers in VERONA | ||||
Please comment or provide details below to improve the information on NJ MEMORY CENTER, LLC.
| 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.