Active NPI
Joel A Seltzer, PH.D.
- Psychologist
- Fair Lawn, NJ
National Provider Identifier
1023359205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 009032
- Practice address
- 17-39 Hunter PL
Fair Lawn, NJ 07410-5249 - Phone
- (201) 703-0456
- NPI assigned
- Mar 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 009032 | NY | Primary |
Addresses
Primary practice location
17-39 Hunter PL
Fair Lawn, NJ 07410-5249
Mailing address
17-39 Hunter PL
Fair Lawn, NJ 07410-5249
Phone (201) 703-0456
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009032 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453852800000",
"number": "1023359205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17-39 HUNTER PL",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074105249",
"telephone_number": "201-703-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17-39 HUNTER PL",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074105249",
"telephone_number": "201-703-0456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELTZER",
"first_name": "JOEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-12",
"last_updated": "2016-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "009032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.