Individual provider Active NPI

Merritt Seth Hubsher, M.D.

  • Child & Adolescent Psychiatry Physician
  • Cedar Knolls, NJ
National Provider Identifier
1275752404
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MA49174 Issued in NJ
Practice address
210 Malapardis Rd
Suite 204
Cedar Knolls, NJ 07927-1109
Phone
(973) 605-5000
Fax
(973) 898-9305
NPI assigned
Apr 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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
Child & Adolescent Psychiatry Physician 2084P0804X MA49174 NJ Primary

Addresses

Primary practice location

210 Malapardis Rd
Suite 204
Cedar Knolls, NJ 07927-1109

Mailing address

210 Malapardis Rd
Cedar Knolls, NJ 07927-1109
Phone (973) 605-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Sep 12, 2016 through Sep 12, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA49174NJMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ADHD Center of Northern New Jersey, LLC Child & Adolescent Psychiatry Current Accepting new patients
Synergy Physical Therapy & Sports Training Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275752404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MALAPARDIS RD",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271109",
            "telephone_number": "973-605-5000",
            "fax_number": "973-898-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MALAPARDIS RD",
            "address_2": "SUITE 204",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271109",
            "telephone_number": "973-605-5000",
            "fax_number": "973-898-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBSHER",
        "first_name": "MERRITT",
        "middle_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "MA49174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

Verify at the official NPI Registry.