Active NPI
Joshua Gregory Shifrin, PHD
- Psychologist
- Springfield, NJ
National Provider Identifier
1093946642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 26 Linden Ave
Neuropsychological Testing Center
Springfield, NJ 07081-1834 - Phone
- (860) 966-0309
- NPI assigned
- Jul 30, 2009
- Last updated
- Jul 25, 2016
- 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 | NU | Primary |
Addresses
Primary practice location
26 Linden Ave
Neuropsychological Testing Center
Springfield, NJ 07081-1834
Mailing address
52 Holiday Dr
West Caldwell, NJ 07006-7417
Phone (860) 966-0309
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00355940 | Other | NY | AGENCY MEDICAID PROVIDER ID |
| 1285628552 | Other | NY | AGENCY NPI # |
| WEV061 | Other | NY | AGENCY MEDICARE ID # |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1093946642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 HOLIDAY DR",
"city": "WEST CALDWELL",
"state": "NJ",
"postal_code": "070067417",
"telephone_number": "860-966-0309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 LINDEN AVE",
"address_2": "NEUROPSYCHOLOGICAL TESTING CENTER",
"city": "SPRINGFIELD",
"state": "NJ",
"postal_code": "070811834",
"telephone_number": "860-966-0309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIFRIN",
"first_name": "JOSHUA",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-30",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY MEDICAID PROVIDER ID",
"identifier": "00355940",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY NPI #",
"identifier": "1285628552",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY MEDICARE ID #",
"identifier": "WEV061",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.