Individual provider Active NPI

Tolga Taneli, MD

  • Child & Adolescent Psychiatry Physician
  • Morristown, NJ
National Provider Identifier
1386729457
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
25MA07879700 Issued in NJ
Practice address
126 Washington St Ste 1
Morristown, NJ 07960-9317
Phone
(973) 944-0844
Fax
(973) 934-4344
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA07879700 NJ
Child & Adolescent Psychiatry Physician 2084P0804X 25MA07879700 NJ Primary

Addresses

Primary practice location

126 Washington St Ste 1
Morristown, NJ 07960-9317

Mailing address

126 Washington St Ste 1
Morristown, NJ 07960-9317
Phone (973) 944-0844

Other identifiers 1

IdentifierTypeStateIssuer
010234189MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2022 through Apr 1, 2028

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1386729457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 WASHINGTON ST STE 1",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079609317",
            "telephone_number": "973-944-0844",
            "fax_number": "973-934-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 WASHINGTON ST STE 1",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079609317",
            "telephone_number": "973-944-0844",
            "fax_number": "973-934-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANELI",
        "first_name": "TOLGA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07879700",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA07879700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010234189",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.