Active NPI
Debora Buzinkai, PSY.D.
- Clinical Psychologist
- Bayonne, NJ
National Provider Identifier
1003216086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35SI00591100
- Practice address
- 168 Avenue B
Bayonne, NJ 07002-2020 - Phone
- (201) 725-2871
- NPI assigned
- Aug 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00358900 | NJ | |
| Psychologist | 103T00000X | 5911 | NJ | |
| Counseling Psychologist | 103TC1900X | 5911 | NJ | |
| Counseling Psychologist | 103TC1900X | 9511 | NJ | |
| Clinical Psychologist | 103TC0700X | 35SI00591100 | NJ | Primary |
Addresses
Primary practice location
168 Avenue B
Bayonne, NJ 07002-2020
Mailing address
365 Avenue a
Bayonne, NJ 07002-1329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00358900 | NJ | MD | Professional Counselor |
| 35SI00591100 | NJ | MD | Clinical Psychologist |
| 5911 | NJ | MD | Counseling Psychologist |
| 9511 | NJ | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Debora Buzinkai LLC | Professional | Current | Accepting new patients |
Locations
168 Avenue B
Bayonne, NJ 07002
Phone (201) 725-2871
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1003216086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 AVENUE A",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070021329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 AVENUE B",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070022020",
"telephone_number": "201-725-2871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUZINKAI",
"first_name": "DEBORA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-27",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00358900",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "5911",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NJ",
"license": "5911",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NJ",
"license": "9511",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00591100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.