Joseph Peter Pedoto, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

35S100299100 Issued in NJ

Practice address

605 Bloomfield Ave
Suite 7
Montclair, NJ 07042-2859

Phone

(973) 783-7772

NPI assigned

Jan 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Joseph P Pedoto LLC

  • Psychologist
  • Montclair, NJ
  • NPI 1992129159
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093868135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 BLOOMFIELD AVE",
            "address_2": "SUITE 7",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422859",
            "telephone_number": "973-783-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 BLOOMFIELD AVE",
            "address_2": "SUITE 7",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422859",
            "telephone_number": "973-783-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDOTO",
        "first_name": "JOSEPH",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "35S100299100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patient Friendly Specialty Pharmacy -PFSP
• Lydia Ann Patrick-Deluca, MSN RN APN-C
• Regina Patrick
• Caitlyn Pawlek
• Lisa Pedi, M.S., CCC-SLP
• Brittany Peery, LCSW
• Marcela Pekarova, NP
• Tara Pellegrino
• Jennifer Ann Pepe-Meyers
• Andrea Nadine Perales, MD

• Counseling Psychologist in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Counseling Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.