Individual provider Active NPI

Debora Buzinkai, PSY.D.

  • Clinical Psychologist
  • Bayonne, NJ
National Provider Identifier
1003216086
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00591100 Issued in NJ
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

Updated by the provider on Apr 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
37PC00358900NJMDProfessional Counselor
35SI00591100NJMDClinical Psychologist
5911NJMDCounseling Psychologist
9511NJMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Debora Buzinkai LLC Professional CurrentSince May 16, 2021 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.

Verify at the official NPI Registry.