Individual provider Active NPI

Ina Qema, MS,MFT

  • Marriage & Family Therapist
  • Montclair, NJ
National Provider Identifier
1417664111
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
06-P119503-01 Issued in NY
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

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
06-P119503-01NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aristotle Psychological and Biofeedback Services PLLC. Marriage & Family Therapist CurrentSince Oct 22, 2023 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.

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.

Verify at the official NPI Registry.