Individual provider Active NPI

Joseph F Perzel, Jr., PSY.D

  • Clinical Psychologist
  • Neptune, NJ
National Provider Identifier
1285773234
Registry record updated Jan 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
NJ164035S100164000 Issued in NJ
Practice address
333 Old Corlies Ave
Neptune, NJ 07753-3902
Phone
(908) 675-0198
Fax
(732) 663-1543
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X
Clinical Psychologist 103TC0700X NJ164035S100164000 NJ Primary

Addresses

Primary practice location

333 Old Corlies Ave
Neptune, NJ 07753-3902

Mailing address

316 Bridlemere Ave
Interlaken, NJ 07712-4413
Phone (908) 675-0198

Other identifiers 1

IdentifierTypeStateIssuer
6334806MedicaidNJ

Other names 1

  • Dr. Joseph F Perzel Other name

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
I20130118000062 NJ Practitioner - Clinical Psychologist 2668625963 Practice locations: Neptune, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

807 Stamford Dr
Neptune, NJ 07753-4220
Phone (908) 675-0198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NJ164035S100164000NJMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358035200000",
    "number": "1285773234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 BRIDLEMERE AVE",
            "city": "INTERLAKEN",
            "state": "NJ",
            "postal_code": "077124413",
            "telephone_number": "908-675-0198",
            "fax_number": "732-663-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 OLD CORLIES AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533902",
            "telephone_number": "908-675-0198",
            "fax_number": "732-663-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERZEL,",
        "first_name": "JOSEPH",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2013-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "NJ164035S100164000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6334806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "PERZEL",
            "middle_name": "F",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.