Organization Active NPI

Robert Chorney PSYD at New Roads LLC

  • Psychologist
  • Linwood, NJ
National Provider Identifier
1124376827
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00267300 Issued in NJ
Legal business name
ROBERT CHORNEY PSYD AT NEW ROADS LLC
Practice address
2106 New Rd
Suite F3
Linwood, NJ 08221-1046
Phone
(609) 926-1165
Fax
(609) 926-1228
NPI assigned
Aug 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Authorized official

Name
Robert ChorneyNPI 1538275185
Title
Licensed Psychologist
Phone
(609) 926-1165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 35SI00267300 NJ Primary

Addresses

Primary practice location

2106 New Rd
Suite F3
Linwood, NJ 08221-1046

Mailing address

2106 New Rd
Suite F3
Linwood, NJ 08221-1046
Phone (609) 926-1165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121120000037 NJ Part B Supplier - Clinic/Group Practice 5294986378 Receives reassigned benefits from 1 practitioner
Practice locations: Linwood, NJ

National Provider Directory

National Provider Directory

Locations

2106 New Rd
Ste F3
Linwood, NJ 08221
Phone (609) 926-0013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1124376827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 NEW RD",
            "address_2": "SUITE F3",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211046",
            "telephone_number": "609-926-1165",
            "fax_number": "609-926-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 NEW RD",
            "address_2": "SUITE F3",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211046",
            "telephone_number": "609-926-1165",
            "fax_number": "609-926-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT CHORNEY PSYD AT NEW ROADS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "CHORNEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "609-926-1165"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00267300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.