Active NPI
Nora Alarifi Pharaon, ED.D.
- Counseling Psychologist
- Rutherford, NJ
National Provider Identifier
1295949121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 35SI00429800
- Practice address
- 17 Ames Ave
Pharaon Consulting Group, Inc.
Rutherford, NJ 07070-1701 - Phone
- (212) 563-2623
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 0127971 | NY | |
| Counseling Psychologist | 103TC1900X | 35SI00429800 | NJ | Primary |
Addresses
Primary practice location
17 Ames Ave
Pharaon Consulting Group, Inc.
Rutherford, NJ 07070-1701
Mailing address
60 Euclid Rd
Fort Lee, NJ 07024-6435
Phone (201) 486-3987
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02552858 | Medicaid | NY | |
| 176062P | Other | NY | HIP |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00429800 | NJ | MD | Counseling Psychologist |
| 0127971 | NY | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216684800000",
"number": "1295949121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 EUCLID RD",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070246435",
"telephone_number": "201-486-3987",
"fax_number": "201-886-8460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 AMES AVE",
"address_2": "PHARAON CONSULTING GROUP, INC.",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "070701701",
"telephone_number": "212-563-2623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHARAON",
"first_name": "NORA",
"middle_name": "ALARIFI",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2008-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NY",
"license": "0127971",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NJ",
"license": "35SI00429800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02552858",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "176062P",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rutherford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.