Active NPI
Meyer A Rothberg, PH.D.
- Clinical Psychologist
- Metuchen, NJ
National Provider Identifier
1184839524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 884
- Practice address
- 328 Amboy Ave
Metuchen, NJ 08840-2456 - Phone
- (845) 389-8561
- NPI assigned
- May 11, 2007
- Last updated
- May 17, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 884 | NJ | |
| Clinical Psychologist | 103TC0700X | 884 | NJ | Primary |
Addresses
Primary practice location
328 Amboy Ave
Metuchen, NJ 08840-2456
Mailing address
328 Amboy Ave
Metuchen, NJ 08840-2456
Phone (732) 548-2195
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 884 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1184839524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 AMBOY AVE",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088402456",
"telephone_number": "732-548-2195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 AMBOY AVE",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088402456",
"telephone_number": "845-389-8561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHBERG",
"first_name": "MEYER",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "884",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metuchen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.