Individual provider Active NPI

Jennifer Platt, DO

  • Child & Adolescent Psychiatry Physician
  • Cedar Grove, NJ
National Provider Identifier
1104061050
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
25MB09141100 Issued in NJ
Practice address
PO Box 313
Cedar Grove, NJ 07009-0313
Phone
(973) 239-4848
NPI assigned
Dec 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 25MB09141100 NJ Primary

Addresses

Primary practice location

PO Box 313
Cedar Grove, NJ 07009-0313

Mailing address

PO Box 313
Cedar Grove, NJ 07009-0313

Other practice location 1

33 S Fullerton Ave
Montclair, NJ 07042-6392
Phone (973) 509-9777

Other practice location 2

80 Main St Ste 500
West Orange, NJ 07052-5414
Phone (973) 509-9777

Other practice location 3

1160 Parsippany Blvd Fl 2
Parsippany, NJ 07054-1811
Phone (973) 509-9777

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 22, 2016 through Mar 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO034380DCMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Platt Psychiatric Associates, L.L.C. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1228521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1104061050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 313",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070090313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 313",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070090313",
            "telephone_number": "973-239-4848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 S Fullerton Ave",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070426392",
            "country_code": "US",
            "telephone_number": "973-509-9777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Main St Ste 500",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070525414",
            "country_code": "US",
            "telephone_number": "973-509-9777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1160 Parsippany Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Parsippany",
            "state": "NJ",
            "postal_code": "070541811",
            "country_code": "US",
            "telephone_number": "973-509-9777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLATT",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-06",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MB09141100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Grove, NJ

Sources for this page

Verify at the official NPI Registry.