NEW JERSEY NEUROPSYCHOLOGY, LLC (NPI# 1710471875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710471875 |
| Entity Type | Organization |
| Organization Name | NEW JERSEY NEUROPSYCHOLOGY, LLC |
| Practice Address |
27 Clyde Rd Ste 102 Somerset NJ 08873-5039 |
| Mailing Address |
260 E Broad St Apt 8 Westfield NJ 07090-5100 |
| Practice Telephone | 9084181382 |
| Mailing Telephone | 9084181382 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | DR. JOHN BRADLEY FECHTER (CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Telephone | 9084181382 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 35S100594200 | NJ | Ambulatory Health Care Facilities |
| Street Address |
27 CLYDE RD STE 102 |
| City | SOMERSET |
| State | NJ |
| Zip Code | 08873-5039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932472990 | Michael Brian Gross | Counselor | 27 Clyde Rd Ste 102, Somerset, NJ 08873 | 2012-02-21 |
| 1386122489 | Dr. Mike Gross, LLC | Psychologist | 27 Clyde Rd Ste 102, Somerset, NJ 08873-5039 | 2018-07-31 |
| 1770076580 | John Bradley Fechter | Clinical Neuropsychologist | 27 Clyde Rd Ste 102, Somerset, NJ 08873 | 2018-06-07 |
| 1588055156 | Jeanne Elizabeth Girardy | Family Medicine | 27 Clyde Rd Ste 102, Somerset, NJ 08873-5039 | 2015-02-18 |
| 1588060982 | Sandi Fields | Social Worker | 27 Clyde Rd Ste 102, Somerset, NJ 08873-5039 | 2014-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204939 | Mark Anthony Diehl | Physical Medicine & Rehabilitation | 1553 State Highway 27, Suite 3100, Somerset, NJ 08873 | 2020-10-29 |
| 1447859483 | Somerset Senior Care, LLC | Assisted Living Facility | 1870 Easton Avenue, Somerset, NJ 08873 | 2020-10-21 |
| 1902415748 | Theranorth Services, LLC | Day Training, Developmentally Disabled Services | 1075 Easton Ave., Tower 2 #4, Somerset, NJ 08873 | 2020-07-28 |
| 1710461157 | Rachnaben Tripathi | Clinic/Center | New Life Adult Daycare, 727 Franklin Blvd., Suite 6, Somerset, NJ 08873 | 2018-09-21 |
| 1487149431 | Dungarvin New Jersey, LLC-rachel | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 215 Rachel Court, Somerset, NJ 08873 | 2018-06-22 |
| 1881192714 | Maggy Lawrence | Nurse Practitioner | 1553 Nj-27, Somerset, NJ 08873 | 2018-01-25 |
| 1548779333 | Alternatives, Inc. | Community/Behavioral Health | 10 Vince Rd, Somerset, NJ 08873 | 2017-09-25 |
| 1659893014 | John Okoye | Case Manager/Care Coordinator | 873 Hamilton Street Unit A, Somerset, NJ 08873 | 2017-07-07 |
| 1245766252 | Salma Khan | Dentist | 1543 Nj 27, Somerset, NJ 08873 | 2017-05-11 |
| 1861927238 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1jfk Boulevard, Unit 1f, Somerset, NJ 08873 | 2017-04-24 |
| Find all providers in zip 08873 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427558840 | Wga Healthcare | Clinic/Center | 44 Berry St Apt 205, Somerset, NJ 08873-3542 | 2018-02-13 |
| 1669646642 | Harvey R. Jacobs | Clinic/Center | 25 Clyde Rd, Suite 101, Somerset, NJ 08873-5038 | 2008-04-21 |
| 1073692679 | Upmc Somerset | Clinic/Center | 225 S Center Avenue, Somerset, PA 15501-2088 | 2006-11-03 |
| 1104892181 | Kentucky Family Care Psc | Clinic/Center | 298 Bogle St, Ste B, Somerset, KY 42503-2836 | 2006-02-28 |
| 1912550518 | Somerset Women's Health & Wellness LLC | Clinic/Center | 867 W Main St, Somerset, PA 15501-1235 | 2019-07-23 |
| 1023449568 | Garden State Health Care Solutions | Clinic/Center | 49 Veronica Ave, Somerset, NJ 08873-6802 | 2013-12-10 |
| 1457626731 | Rutkowski Family Chiropractic P.C. | Clinic/Center | 1592 Grand Army Hwy, Somerset, MA 02726-1210 | 2012-03-20 |
| 1629136437 | Perry County Rehab & Diagnostic Center | Clinic/Center | 301 Dr Mike Clouse Drive, Somerset, OH 43783 | 2006-12-05 |
| 1962595298 | Kwabena Owusu-dapaah, Md PC. | Clinic/Center | 710 Easton Ave, Suite 1a, Somerset, NJ 08873-1855 | 2006-09-30 |
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|---|---|---|---|---|
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| 1194354407 | Recover Physical Therapy | Clinic/Center | 1501 Old Black Horse Pike Apt F9, Blackwood, NJ 08012-4927 | 2020-04-07 |
| 1154950657 | Real House Inc. | Clinic/Center | 1089-91 East Jersey Street, Elizabeth, NJ 07201 | 2020-04-06 |
| 1205464823 | Fulcrum Performance Lab, LLC | Clinic/Center | 75 S Maple Ave, Marlton, NJ 08053-2032 | 2020-03-30 |
| 1215563887 | Dr Cloyd's Clinical Psychology and Neuropsychology Practice Pllc | Clinic/Center | 1209 Route 70 W, Cherry Hill, NJ 08002-3532 | 2020-03-16 |
| 1144860271 | Sentarus Healthcare Solutions Inc | Clinic/Center | 736 S White Horse Pike, Audubon, NJ 08106-1346 | 2020-01-07 |
| 1497303044 | Sanni Ojibara Training Academy | Clinic/Center | 104 Hillside Ter, Irvington, NJ 07111-1514 | 2019-08-27 |
| 1457907404 | Vitality Wellness Group LLC | Clinic/Center | 1000 Sanger Ave Ste 211, Oceanport, NJ 07757-1241 | 2019-08-15 |
| 1760034292 | Optimally Nourished LLC | Clinic/Center | 303 Belmont Ave Ste 2, Belleville, NJ 07109-1103 | 2019-07-15 |
| 1881246676 | Acenda, Inc. | Clinic/Center | 1129 Route 9 S, Cape May Court House, NJ 08210-2752 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
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| 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.