Active NPI
Joseph A Fiore, PSY.D, M.S.
- Psychologist
- Cinnaminson, NJ
National Provider Identifier
1437468667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS-003896-L
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01931305 | Medicaid | PA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-003896-L | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shiny Triangle LCSW PC | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.