Individual provider Active NPI

Jane M Healey, PHD

Clinical Neuropsychologist
Ridgewood, NJ

National Provider Identifier

1194319624

Registry record updated Feb 25, 2021

On this page

Key facts
NPPES NPI Registry
Medicare participation
National Provider Directory
NPI Registry JSON
Other providers in Ridgewood, NJ
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Clinical NeuropsychologistTaxonomy code 103G00000X
License: 304700 Issued in NJ
Practice address: 75 N Maple Ave Ste 101B
Ridgewood, NJ 07450-3261
Phone: (201) 960-3571
NPI assigned: Feb 25, 2021
Sex: Female
Sole proprietor: Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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
Clinical Neuropsychologist	103G00000X	007290	NY
Clinical Neuropsychologist	103G00000X	304700	NJ	Primary

Addresses

Primary practice location

75 N Maple Ave Ste 101B
Ridgewood, NJ 07450-3261

Mailing address

75 N Maple Ave Ste 101B
Ridgewood, NJ 07450-3261
Phone (201) 960-3571

Electronic endpoints 12

Type	Endpoint	Use
Other URL	jmhneuro@optonline.net	Direct
Other URL	jmhneuro@optonline.net	Health Information Exchange (HIE)
CONNECT URL	drjanehealey16@gmail.com	Direct
CONNECT URL	drjanehealey16@gmail.com	Direct
Other URL	jmhneuro@optonline.net	Direct
Other URL	jmhneuro@optonline.net	Health Information Exchange (HIE)
CONNECT URL	drjanehealey16@gmail.com	Direct
Other URL	jmhneuro@optonline.net	Direct
Other URL	jmhneuro@optonline.net	Health Information Exchange (HIE)
CONNECT URL	drjanehealey16@gmail.com	Direct
Other URL	jmhneuro@optonline.net	Direct
Other URL	jmhneuro@optonline.net	Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Not enrolled
Credentials: Doctor of Philosophy

State licenses

License	State	Type	Specialty
304700	NJ	MD	Clinical Neuropsychologist
007290	NY	MD	Physical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1194319624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 N MAPLE AVE STE 101B",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503261",
            "telephone_number": "201-960-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 N MAPLE AVE STE 101B",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503261",
            "telephone_number": "201-960-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALEY",
        "first_name": "JANE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "007290",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "304700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jmhneuro@optonline.net",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "business email",
            "address_1": "75 N Maple Ave Ste 101B",
            "city": "Ridgewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074503261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jmhneuro@optonline.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "75 N Maple Ave Ste 101B",
            "city": "Ridgewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074503261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drjanehealey16@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "75 N Maple Ave Ste 101B",
            "city": "Ridgewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074503261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drjanehealey16@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "75 N Maple Ave Ste 101B",
            "city": "Ridgewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074503261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jmhneuro@optonline.net",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "business email",
            "address_1": "75 N Maple Ave Ste 101B",
            "city": "Ridgewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074503261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jmhneuro@optonline.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "75 N Maple Ave Ste 101B",
            "city": "Ridgewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074503261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drjanehealey16@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "75 N Maple Ave Ste 101B",
            "city": "Ridgewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074503261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jmhneuro@optonline.net",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "business email",
            "address_1": "75 N Maple Ave Ste 101B",
            "city": "Ridgewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074503261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jmhneuro@optonline.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "75 N Maple Ave Ste 101B",
            "city": "Ridgewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074503261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drjanehealey16@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "75 N Maple Ave Ste 101B",
            "city": "Ridgewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074503261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jmhneuro@optonline.net",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "business email",
            "address_1": "75 N Maple Ave Ste 101B",
            "city": "Ridgewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074503261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jmhneuro@optonline.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "75 N Maple Ave Ste 101B",
            "city": "Ridgewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074503261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.