Individual provider Active NPI

Jorge Priori, M.D.

  • Psychiatry Physician
  • Millville, NJ
National Provider Identifier
1396884508
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA03994400 Issued in NJ
Practice address
2038 Carmel Road
Millville, NJ 08332
Phone
(856) 825-6810
Fax
(856) 327-4281
NPI assigned
Feb 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA03994400 NJ Primary

Addresses

Primary practice location

2038 Carmel Road
Millville, NJ 08332

Mailing address

1308 Chickadee LN
Millville, NJ 08332-2333
Phone (856) 825-6810

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101011000781 NJ Practitioner - Psychiatry 2860684768 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Guidance Center CurrentSince Jun 15, 1989 Accepting new patients

Locations

2038 Carmel Rd
Millville, NJ 08332
Phone (856) 825-6810

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396884508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 CHICKADEE LN",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083322333",
            "telephone_number": "856-825-6810",
            "fax_number": "856-327-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2038 CARMEL ROAD",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "08332",
            "telephone_number": "856-825-6810",
            "fax_number": "856-327-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIORI",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA03994400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millville, NJ

Sources for this page

Verify at the official NPI Registry.