Individual provider Active NPI

Joseph A Fiore, PSY.D, M.S.

  • Psychologist
  • Cinnaminson, NJ
National Provider Identifier
1437468667
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS-003896-L Issued in PA
Practice address
2106 Derby Dr
Cinnaminson, NJ 08077-4519
Phone
(267) 312-7070
Fax
(856) 786-1057
NPI assigned
Oct 5, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS-003896-L PA Primary

Addresses

Primary practice location

2106 Derby Dr
Cinnaminson, NJ 08077-4519

Mailing address

PO Box 2236
Cinnaminson, NJ 08077-5236
Phone (267) 312-7070

Other identifiers 1

IdentifierTypeStateIssuer
01931305MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PS-003896-LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shiny Triangle LCSW PC CurrentSince Dec 30, 2023 Accepting new patients

Locations

254 Old Nyack Tpke
Spring Valley, NY 10977
Phone (800) 747-4226

2200 Hill Church Houston Rd
#R
Canonsburg, PA 15317

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1437468667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2236",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080775236",
            "telephone_number": "267-312-7070",
            "fax_number": "856-786-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 DERBY DR",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080774519",
            "telephone_number": "267-312-7070",
            "fax_number": "856-786-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORE",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D, M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-003896-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01931305",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cinnaminson, NJ

Sources for this page

Verify at the official NPI Registry.