Moti Peleg, PHD, DSW

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35S100293100 Issued in NJ

Practice address

115 Pine St
Ridgewood, NJ 07450-1619

Phone

(201) 652-6843

Fax

(201) 652-2187

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1235280132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PINE ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501619",
            "telephone_number": "201-652-6843",
            "fax_number": "201-652-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PINE ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501619",
            "telephone_number": "201-652-6843",
            "fax_number": "201-652-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELEG",
        "first_name": "MOTI",
        "name_prefix": "Dr.",
        "credential": "PHD, DSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100293100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "BS492",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "31983316801070",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "60054",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH SHORE NJ EMPIRE",
            "identifier": "V9B473",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Franklin E Paulino, M.D.
• Dana Pavese, ED.S., LPC
• Haleh Pazwash, M.D.
• Pediatric Dental Associates LLC
• Pediatric Surgicalcare, LLC
• Gilda E Perez, L.AC.
• Magda Perillo, LCSW
• Beth Peritz, LCSW
• Jessica Perkins, PA
• Andrew Barry Perlstein, M.S.W.

• Psychologist in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.