Walter Glenn Florek, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00224300 Issued in NJ

Practice address

525 Route 70
Suite a-3
Lakewood, NJ 08701-5847

Phone

(732) 364-0040

Fax

(732) 364-0171

NPI assigned

Oct 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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

• A&W Psychology Services Inc.

  • Clinical Psychologist
  • Lakewood, NJ
  • NPI 1134216302
  Medicare reassignment NPD Authorized official
• Ars Treatment Centers of New Jersey, PC

  • Addiction Medicine (Family Medicine) Physician
  • Lanoka Harbor, NJ
  • NPI 1720644800
  NPD

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1376731182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROUTE 70",
            "address_2": "SUITE A-3",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015847",
            "telephone_number": "732-364-0040",
            "fax_number": "732-364-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 70",
            "address_2": "SUITE A-3",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015847",
            "telephone_number": "732-364-0040",
            "fax_number": "732-364-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOREK",
        "first_name": "WALTER",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-05",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00224300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOURCE IDENTIFICATION NUM",
            "identifier": "0912994",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Fleischer
• Sara Fleischer, MA, SLP
• Rivka Fligman, NP
• Esther Florans, BCBA
• Tova Florans
• Teresa Flores, MA, LAC
• Fly High LLC
• Esty Fogel
• Shanna Fogel, M.S/OTR
• Bashy Folger

• Clinical Psychologist in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.