Individual provider Active NPI

Nina Stolzenberg, PHD

  • Psychologist
  • Margate City, NJ
National Provider Identifier
1073868683
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00373400 Issued in NJ
Practice address
607 N Jerome Ave
Margate City, NJ 08402-1527
Phone
(609) 822-1108
NPI assigned
Jul 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00373400 NJ Primary

Addresses

Primary practice location

607 N Jerome Ave
Margate City, NJ 08402-1527

Mailing address

607 N Jerome Ave
Margate City, NJ 08402-1527
Phone (609) 822-1108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1899 W Custer LN
Fayetteville, AR 72701-6777

379 Campus Dr
Somerset, NJ 08873-1161

66 W Gilbert St
Red Bank, NJ 07701-4947

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35SI00373400NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1073868683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 N JEROME AVE",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084021527",
            "telephone_number": "609-822-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 N JEROME AVE",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084021527",
            "telephone_number": "609-822-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLZENBERG",
        "first_name": "NINA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00373400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate City, NJ

Sources for this page

Verify at the official NPI Registry.