Dorota W Novitskie, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00547400 Issued in NJ

Practice address

140 County Rd
Tenafly, NJ 07670-1839

Phone

(973) 906-3431

Fax

(201) 270-5135

NPI assigned

Aug 27, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Merion Square Road Medical PCGroup PAC ID 0446605422, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dorothy.novitskie.1@21449.direct.athenahealth.com

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.

• Merion Square Road Medical PC

  • Pain Clinic/Center
  • Dayton, OH
  • NPI 1942923123

  NJ

  Medicare reassignment Care Compare group NPD
• Senior Care Therapy LLC

  • Clinical Psychologist
  • Passaic, NJ
  • NPI 1285898098
  Medicare reassignment NPD
• Kevin H Weiner, MD, PC

  • Specialist
  • Staten Island, NY
  • NPI 1083926976
  NPD (past)
• Merion Square Road Medical P.C.

  • Adult Mental Health Clinic/Center
  • Dayton, OH
  • NPI 1457037921

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1386950376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ALPINE RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070059743",
            "telephone_number": "973-906-3431",
            "fax_number": "201-270-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COUNTY RD",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701839",
            "telephone_number": "973-906-3431",
            "fax_number": "201-270-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVITSKIE",
        "first_name": "DOROTA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "021114",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00547400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Jersey Telemedicine Associates, PC
• Nexgen Biologics LLC
• NJ Dental LLC
• NJ Iom LLC
• Dongwoo Noh
• Nunez Medical Services PC
• Randolph Lee Nunez, M.D.
• Obstetrics and Gynecological Associates of Tenafly
• Stephanie Omens, MASTERS DEGREE
• Euna Paik, CCC-SLP

• Psychologist in Tenafly, NJ
• Providers in Tenafly, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.