Individual provider Active NPI

Victoria Tomasek, PH.D.

  • Cognitive & Behavioral Psychologist
  • Verona, NJ
National Provider Identifier
1174676100
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
35S100338900 Issued in NJ
Practice address
74 Linden Ave
Verona, NJ 07044-2539
Phone
(973) 857-3451
Fax
(973) 857-4368
NPI assigned
Jan 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 35S100338900 NJ Primary

Addresses

Primary practice location

74 Linden Ave
Verona, NJ 07044-2539

Mailing address

74 Linden Ave
Verona, NJ 07044-2539
Phone (973) 857-3451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050524000333 NJ Practitioner - Clinical Psychologist 2365484003 Practice locations: Verona, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35S100338900NJMDCognitive & Behavioral Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174676100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 LINDEN AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442539",
            "telephone_number": "973-857-3451",
            "fax_number": "973-857-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 LINDEN AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442539",
            "telephone_number": "973-857-3451",
            "fax_number": "973-857-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASEK",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NJ",
            "license": "35S100338900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

Verify at the official NPI Registry.