Individual provider Active NPI

Thomas J Hurwitz, EDD

  • Clinical Psychologist
  • Ridgewood, NJ
National Provider Identifier
1447304522
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100117700 Issued in NJ
Practice address
1 Prospect Street
Suite 1
Ridgewood, NJ 07450-4404
Phone
(201) 447-2375
Fax
(201) 784-0892
NPI assigned
Jan 23, 2007
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
Clinical Psychologist 103TC0700X 35S100117700 NJ Primary

Addresses

Primary practice location

1 Prospect Street
Suite 1
Ridgewood, NJ 07450-4404

Mailing address

1 Prospect Street
Suite 1
Ridgewood, NJ 07450-4404
Phone (201) 447-2375

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050629000467 NJ Practitioner - Clinical Psychologist 4486690591 Practice locations: Ridgewood, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1008 Tower Dr
Edgewater, NJ 07020-2204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447304522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PROSPECT STREET",
            "address_2": "SUITE 1",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504404",
            "telephone_number": "201-447-2375",
            "fax_number": "201-784-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROSPECT STREET",
            "address_2": "SUITE 1",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504404",
            "telephone_number": "201-447-2375",
            "fax_number": "201-784-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURWITZ",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100117700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.