NPIMap

Organization Active NPI

Psychiatry&Psychosomatic Medicine

  • Professional Counselor
  • Wayne, NJ
National Provider Identifier
1023303229
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
25 MA08664800 Issued in NJ
Legal business name
PSYCHIATRY&PSYCHOSOMATIC MEDICINE
Practice address
549 Pines Lake Dr E
Wayne, NJ 07470-5117
Phone
(973) 464-7599
NPI assigned
Jun 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Dr. Margarita Gormus, M.D.
Title
M.D.
Phone
(973) 464-7599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 25 MA08664800 NJ Primary

Addresses

Primary practice location

549 Pines Lake Dr E
Wayne, NJ 07470-5117

Mailing address

549 Pines Lake Dr E
Wayne, NJ 07470-5117
Phone (973) 464-7599

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1023303229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 PINES LAKE DR E",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705117",
            "telephone_number": "973-464-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 PINES LAKE DR E",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705117",
            "telephone_number": "973-464-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRY&PSYCHOSOMATIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "GORMUS",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "973-464-7599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "25 MA08664800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.