Individual provider Active NPI

Gregory M. Alberts, PHD

  • Clinical Neuropsychologist
  • Gibbsboro, NJ
National Provider Identifier
1033444237
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
35SI00353500 Issued in NJ
Practice address
250 Haddonfield Berlin Rd
Suite 105
Gibbsboro, NJ 08026-1228
Phone
(856) 346-0005
Fax
(856) 784-1799
NPI assigned
Oct 6, 2009
Last updated
Mar 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 35SI00353500 NJ Primary

Addresses

Primary practice location

250 Haddonfield Berlin Rd
Suite 105
Gibbsboro, NJ 08026-1228

Mailing address

250 Haddonfield Berlin Rd
Suite 105
Gibbsboro, NJ 08026-1228
Phone (856) 346-0005

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

LicenseStateTypeSpecialty
35SI00353500NJMDClinical Neuropsychologist

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1033444237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HADDONFIELD BERLIN RD",
            "address_2": "SUITE 105",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261228",
            "telephone_number": "856-346-0005",
            "fax_number": "856-784-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HADDONFIELD BERLIN RD",
            "address_2": "SUITE 105",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261228",
            "telephone_number": "856-346-0005",
            "fax_number": "856-784-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTS",
        "first_name": "GREGORY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-06",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "35SI00353500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibbsboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.