Individual provider Active NPI

Tzivia Ruth Jofen, PSYD

  • Psychologist
  • Brooklyn, NY
National Provider Identifier
1174290514
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
024468 Issued in NY
Practice address
2103 Bay Ave
Brooklyn, NY 11210-5047
Phone
(718) 490-9688
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 024468 NY Primary

Addresses

Primary practice location

2103 Bay Ave
Brooklyn, NY 11210-5047

Mailing address

2103 Bay Ave
Brooklyn, NY 11210-5047
Phone (718) 490-9688

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
024468NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1174290514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 BAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105047",
            "telephone_number": "718-490-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 BAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105047",
            "telephone_number": "718-490-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOFEN",
        "first_name": "TZIVIA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "024468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.