Individual provider Active NPI

Robert J. Pasahow, PH.D.

  • Psychologist
  • Northfield, NJ
National Provider Identifier
1013054683
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
NJ1755 Issued in NJ
Practice address
600 New Rd
Northfield, NJ 08225-1653
Phone
(609) 641-2500
Fax
(609) 641-2502
NPI assigned
Jan 31, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NJ1755 NJ Primary

Addresses

Primary practice location

600 New Rd
Northfield, NJ 08225-1653

Mailing address

600 New Rd
Northfield, NJ 08225-1653
Phone (609) 641-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050502001130 NJ Practitioner - Clinical Psychologist 7618939612 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
NJ1755NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliates in Psychotherapy CurrentSince Jun 1, 1986 Accepting new patients

Locations

600 New Rd
Northfield, NJ 08225
Phone (609) 641-2500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013054683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NEW RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251653",
            "telephone_number": "609-641-2500",
            "fax_number": "609-641-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NEW RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251653",
            "telephone_number": "609-641-2500",
            "fax_number": "609-641-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASAHOW",
        "first_name": "ROBERT",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "NJ1755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

Verify at the official NPI Registry.