Roy C. Grzesiak, PH.D., PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

SI100174900 Issued in NJ

Legal business name

ROY C. GRZESIAK, PH.D., PC

Practice address

567 Park Ave Ste 203
Scotch Plains, NJ 07076-1754

Phone

(908) 322-1313

Fax

(908) 322-1414

NPI assigned

Jan 28, 2009

Organization subpart

No

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

Authorized official

Name

Roy C Grzesiak, PH.D.

Title

President

Phone

(908) 322-1313

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1033357108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 PARK AVE STE 203",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761754",
            "telephone_number": "908-322-1313",
            "fax_number": "908-322-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 PARK AVE STE 203",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761754",
            "telephone_number": "908-322-1313",
            "fax_number": "908-322-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY C. GRZESIAK, PH.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "GRZESIAK",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-322-1313",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "SI100174900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Scotch Plains, NJ
• Providers in Scotch Plains, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.