Organization Active NPI

Heart Mind Body

  • Psychiatry Physician
  • Newton, NJ
National Provider Identifier
1013606235
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HEART MIND BODY
Practice address
14 Church Street
Newton, NJ 07860
Phone
(973) 600-5487
Fax
(973) 957-3222
NPI assigned
May 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Dorothy GeffkenNPI 1689268898
Title
Owner/Ceo
Phone
(973) 600-5487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

14 Church Street
Newton, NJ 07860

Mailing address

16 Main St Apt D5
Sparta, NJ 07871-1958
Phone (973) 362-5652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230818000877 NJ Part B Supplier - Clinic/Group Practice 4082076385 Receives reassigned benefits from 3 practitioners
Practice locations: Sparta, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1013606235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAIN ST APT D5",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711958",
            "telephone_number": "973-362-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CHURCH STREET",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "07860",
            "telephone_number": "973-600-5487",
            "fax_number": "973-957-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART MIND BODY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "GEFFKEN",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "973-600-5487"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.