Psychological Group of Northern NJ PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35S100293100 Issued in NJ

Legal business name

PSYCHOLOGICAL GROUP OF NORTHERN NJ PC

Practice address

115 Pine St
Ridgewood, NJ 07450-1619

Phone

(201) 652-6843

Fax

(201) 652-2187

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Moti Peleg, PHD,DSW

Title

President

Phone

(201) 652-6843

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487705398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PINE ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501619",
            "telephone_number": "201-652-6843",
            "fax_number": "201-652-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PINE ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501619",
            "telephone_number": "201-652-6843",
            "fax_number": "201-652-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL GROUP OF NORTHERN NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PELEG",
        "authorized_official_first_name": "MOTI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-652-6843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD,DSW"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100293100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychcare PC
• Psychiatric Medicine Consultants of New Jersey LLC
• Psychiatry on Video LLC
• Psychodiagnostics
• Psychological & Neuropsychological Services LLC
• Psychology Group of Northern New Jersey
• Psychotherapy Associates of New Jersey
• Psychotherapy Center of New Jersey
• Anthony Enrico Pucci, D.O.
• Edward A Pucci, D.O.

• Psychologist in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.