Individual provider Active NPI

Joshua Gregory Shifrin, PHD

  • Psychologist
  • Springfield, NJ
National Provider Identifier
1093946642
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00355940OtherNYAGENCY MEDICAID PROVIDER ID
1285628552OtherNYAGENCY NPI #
WEV061OtherNYAGENCY 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.

Verify at the official NPI Registry.