Active NPI
Nancy T. Block, M.D.
- Psychiatry Physician
- Berkeley Heights, NJ
National Provider Identifier
1457573644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA01696800
- Practice address
- 87 Cromwell CT
Berkeley Heights, NJ 07922-1828 - Phone
- (908) 464-2174
- Fax
- (908) 464-4353
- NPI assigned
- May 3, 2007
- Last updated
- Oct 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | 25MA0169800 | NJ | |
| Psychiatry Physician | 2084P0800X | 25MA01696800 | NJ | Primary |
Addresses
Primary practice location
87 Cromwell CT
Berkeley Heights, NJ 07922-1828
Mailing address
87 Cromwell CT
Berkeley Heights, NJ 07922-1828
Phone (908) 464-2174
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA0169800 | NJ | MD | Psychosomatic Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286841600000",
"number": "1457573644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 CROMWELL CT",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079221828",
"telephone_number": "908-464-2174",
"fax_number": "908-464-4353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 CROMWELL CT",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079221828",
"telephone_number": "908-464-2174",
"fax_number": "908-464-4353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCK",
"first_name": "NANCY",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2010-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "NJ",
"license": "25MA0169800",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA01696800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley Heights, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.