Active NPI
Ina Qema, MS,MFT
- Marriage & Family Therapist
- Montclair, NJ
National Provider Identifier
1417664111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 06-P119503-01
- Practice address
- 73 Grove St Apt 25S
Montclair, NJ 07042-3722 - Phone
- (646) 241-4809
- NPI assigned
- Nov 2, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 06-P119503-01 | NY | Primary |
Addresses
Primary practice location
73 Grove St Apt 25S
Montclair, NJ 07042-3722
Mailing address
3109 37TH St
Astoria, NY 11103-3932
Phone (718) 721-4300
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06-P119503-01 | NY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aristotle Psychological and Biofeedback Services PLLC. | Marriage & Family Therapist | Current | Accepting new patients |
Locations
3109 37th St
Astoria, NY 11103
Phone (718) 721-4300
Organizations & group practices 1
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.
-
- Psychologist
- Astoria, NY
- NPI 1144586470
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1417664111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3109 37TH ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111033932",
"telephone_number": "718-721-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 GROVE ST APT 25S",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070423722",
"telephone_number": "646-241-4809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QEMA",
"first_name": "INA",
"credential": "MS,MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-02",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "06-P119503-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.